National Provider Identifier
Joseph Anthony Russo, PSY.D.
Joseph Anthony Russo, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Rochester, NY and a listed phone number of (585) 506-6096.
Profile Overview
- NPI
- 1750407664
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- March 22, 2007
- Last Updated
- July 08, 2007
Practice Location
- 25 Canterbury RD
- Suite #308
- Rochester, NY 14607-3403
Phone: (585) 506-6096
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1750407664
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Joseph
- Middle Name
- Anthony
- Name Prefix
- Dr.
- Credential
- PSY.D.
- Mailing Street Address
- 25 Canterbury RD
- Mailing Address Line 2
- Suite #308
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-3403
- Mailing Country
- US
- Mailing Phone
- (585) 506-6096
- Mailing Fax
- (585) 442-5971
- Practice Street Address
- 25 Canterbury RD
- Practice Address Line 2
- Suite #308
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-3403
- Practice Country
- US
- Practice Phone
- (585) 506-6096
- Practice Fax
- (585) 442-5971
- Enumeration Date
- March 22, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- 183488FC (NY, Preferred Care)