Search › Pennsylvania › 103TC0700X
Jessica Russo, PSY.D
NPI 1659401990 · on the registry since 2007 · sole proprietor
Practice
- Address
- 230 S. Broad St.
Ste 600
Phila, PA 19102 - Phone
- (215) 545-2748
- Fax
- (215) 545-2749
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-02-24
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