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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PASQUALE JOHN RUSSONIELLO, M.A.

Active Sole Proprietor

MR. PASQUALE JOHN RUSSONIELLO, M.A. is a Psychologist healthcare provider located in DREXEL HILL, Pennsylvania. NPI 1275740029 is currently active in the NPPES registry. Verify at CMS.

Psychologist · DREXEL HILL, PA

Registration Details

NPI Number
1275740029
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2007 (19.254422355769 yrs)
Last Updated
Oct 1, 2021
Licenses
PS002904L (PA)
PS002904-L (PA)
Sole Proprietor
Yes

Practice Information

Address
366 FAIRFAX RD
DREXEL HILL, PA, 190261007
Browse PA providers · Browse ZIP 19026
Phone
6103166944
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Psychologist

Other Psychologist Providers in DREXEL HILL, PA

Name Credential NPI
HOLLY GRISHKAT 1982826269
THEODORE C LEWANDOWSKI 1407068836
STEPHEN A. RUSSO PH.D 1902041825
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.