Russo, Shelley

Russo, Shelley is an individual health care provider with primary practice located at 343 S Kirkwood Rd Suite 200, Saint Louis MO 63122-6195. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Russo, Shelley can be contacted via phone (314) 206-3400.

Contact Information

Primary practice address
343 S Kirkwood Rd Suite 200 Saint Louis MO 63122-6195
Phone: (314) 206-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1477832350
LBN Legal business name Russo, Shelley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Aug 10th, 2011 - about 15 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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