Search › North Carolina › Clinical Child & Adolescent Psychologist
Jaclyn Russo, PHD
NPI 1962280024 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4722 Park Rd Ste B
Charlotte, NC 28209 - Phone
- (704) 665-7424
- Organisation at this address
- Kids Central Of The Carolinas, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Clinical Child & Adolescent Psychologist
103TC2200X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-20
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 North Carolina