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Contact Information

KAREN RUSSO PHD LLC
500 CREEK VIEW RD
SUITE 109
NEWARK, DE19711-8549
 Phone: 302-738-3140
 Fax: 302-454-8026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KAREN RUSSO PHD LLC · (Female)

NPI Number 1104188762
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2012
Last updated 04/01/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • DE License # B1-0000259
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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