Mary Russo, PH.D

NPI 1134304967 · on the registry since 2007 · sole proprietor

Practice

Address: 100 State St
Suite 202
Erie, PA 16507
Phone: (814) 480-8797
Fax: (814) 459-2303
Organisation at this address: The Family Institute, Inc.
Anchor Counseling Associates
Lehrian And Palo Oral Surgery, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 103TC2200X
103TC2200X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania