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Contact Information

ABBY RUSSIN, PH.D., LLC
1516 WYOMING AVE
FORTY FORT, PA18704-4225
 Phone: 570-287-5200
 Fax: 570-609-1551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ABBY RUSSIN PHD LLC · (Female)

NPI Number 1699912691
Status Active
Credentials
Entity Individual
Enumeration date 01/13/2009
Last updated 09/02/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # PS016373
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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