Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUDY M. VERSOLA-RUSSO, PSYD
Active Sole ProprietorDR. JUDY M. VERSOLA-RUSSO, PSYD is a Clinical Psychologist healthcare provider located in TRAPPE, Maryland. NPI 1912274937 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · TRAPPE, MD
Registration Details
- NPI Number
- 1912274937
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2011 (14.722189680395 yrs)
- Last Updated
- Nov 18, 2011
- License
-
04931 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
29635 FERRY POINT DRTRAPPE, MD, 216731621Browse MD providers · Browse ZIP 21673
- Phone
- 4107254884
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.