Mrs. Laura Ann Russo-Innamorato
Clinical Psychologist Clinical Social Worker
19 Campus Blvd Ste 102 Delaware County Professional Services
Newtown Square
, Pennsylvania 19073
Mrs. Laura Ann Russo-Innamorato
Clinical Psychologist Clinical Social Worker
19 Campus Blvd Ste 102 Delaware County Professional Services
Newtown Square
, Pennsylvania 19073
(610) 356-6645
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About
Features
Specialties
- Clinical Psychologist
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mrs. Laura Ann Russo-Innamorato
- 1204 Holly Lane
- Glen Mills, PA
- Zip : 19342
- Fax : (610) 356-6645
- Phone : (610) 356-2100
Second Address
- Mrs. Laura Ann Russo-Innamorato
- 19 Campus Blvd Ste 102 Delaware County Professional Services
- Newtown Square, PA
- Zip : 19073
- Fax : (610) 356-6645
- Phone : (610) 356-2100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PS017407 | PA |
| Y | 103TC0700X | Clinical Psychologist | PS017407 | PA |
| N | 1041C0700X | Clinical Social Worker | CW013505 | PA |
National Provider Identifier
| NPI | 1003900044 |
|---|---|
| Provider Name | Mrs. Laura Ann Russo-Innamorato |
| First Address | Glen Mills, PA 19342 |
| Second Address | Newtown Square, PA 19073 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 19/10/2021 |
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.