Russo, Kristina Lea
Russo, Kristina Lea is an sole proprietor health care provider with primary practice located at 10 Meadowbrook Rd , Brockton MA 02301-7122. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Russo, Kristina Lea can be contacted via phone (508) 742-4400.Contact Information
Primary practice address
10 Meadowbrook Rd
Brockton MA 02301-7122
Phone: (508) 742-4400
Fax: (508) 408-6192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5692 | Massachusetts |
Profile Details
| NPI number | 1184924292 |
|---|---|
| LBN Legal business name | Russo, Kristina Lea |
| Credentials | M.A. L.M.H.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2010 |
| Last updated | Jun 8th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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