Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DEIRDRE LEE RUSSO, MFT
Active Sole ProprietorMS. DEIRDRE LEE RUSSO, MFT is a Marriage & Family Therapist healthcare provider located in EAST SETAUKET, New York. NPI 1457722464 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · EAST SETAUKET, NY
Registration Details
- NPI Number
- 1457722464
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2015 (10.833802697109 yrs)
- Last Updated
- Oct 16, 2015
- License
-
P97555 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 S JERSEY AVESUITE 42EAST SETAUKET, NY, 117332034Browse NY providers · Browse ZIP 11733
- Phone
- 6316891728
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
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.