Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOAN CAROL RUSSO, PH.D.
Active Sole ProprietorJOAN CAROL RUSSO, PH.D. is a Clinical Psychologist healthcare provider located in OCONOMOWOC, Wisconsin. NPI 1225037575 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · OCONOMOWOC, WI
Registration Details
- NPI Number
- 1225037575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2005 (21.034968060126 yrs)
- Last Updated
- Jul 7, 2014
- License
-
1169 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
W340N6509 BREEZY POINT RDOCONOMOWOC, WI, 530665132Browse WI providers · Browse ZIP 53066
- Phone
- 2624909114
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in OCONOMOWOC, WI
| Name | Credential | NPI |
|---|---|---|
| DR. MIA NUNEZ | PHD | 1649866096 |
| SAMUEL CARES | PHD, LP | 1366331423 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.