Russo, Stephanie M

Russo, Stephanie M is an individual health care provider with primary practice located at 1 Davis Rd Suite 235 , Valley Forge PA 19482. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russo, Stephanie M can be contacted via phone (610) 783-5000.

Contact Information

Primary practice address
1 Davis Rd Suite 235 Valley Forge PA 19482
Phone: (610) 783-5000
Fax: (610) 783-0525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS-015097 Pennsylvania

Profile Details

NPI number 1740250034
LBN Legal business name Russo, Stephanie M
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 25th, 2008 - about 18 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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