Mary Frances Russo
Clinical Child & Adolescent Psychologist
100 State St Suite 202
Erie
, Pennsylvania 16507-1454
Mary Frances Russo
Clinical Child & Adolescent Psychologist
100 State St Suite 202
Erie
, Pennsylvania 16507-1454
(814) 459-2303
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Mary Frances Russo
- 100 State St Suite 202
- Erie, PA
- Zip : 16507-1454
- Fax : (814) 459-2303
- Phone : (814) 480-8797
Second Address
- Mary Frances Russo
- 100 State St Suite 202
- Erie, PA
- Zip : 16507-1454
- Fax : (814) 459-2303
- Phone : (814) 480-8797
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PS007343L | PA |
National Provider Identifier
| NPI | 1134304967 |
|---|---|
| Provider Name | Mary Frances Russo |
| First Address | Erie, PA 16507-1454 |
| Second Address | Erie, PA 16507-1454 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/12/2007 |
| Last Update Date | 28/12/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.