National Provider Identifier
Tara Russow, PHD
Tara Russow, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 442-4447.
Profile Overview
- NPI
- 1326113143
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- November 21, 2006
- Last Updated
- October 31, 2010
Practice Location
- 120 Allens Creek RD
- Rochester, NY 14618-3306
Phone: (585) 442-4447
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1326113143
- Entity Type
- Individual
- Last Name
- Russow
- First Name
- Tara
- Credential
- PHD
- Mailing Street Address
- 120 Allens Creek RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-3306
- Mailing Country
- US
- Mailing Phone
- (585) 442-4447
- Mailing Fax
- (585) 442-7650
- Practice Street Address
- 120 Allens Creek RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-3306
- Practice Country
- US
- Practice Phone
- (585) 442-4447
- Practice Fax
- (585) 442-7650
- Enumeration Date
- November 21, 2006
- Last Updated
- October 31, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- 2129026 (Cigna), 7004363 (Aetna), 01773702 (NY), P010012305 (Excellus BCBS)