Mrs Deirdre L Camacho-russell, MSP, LBS is a
Behavior Analyst based in Philadelphia, Pennsylvania. Mrs Deirdre L Camacho-russell is licensed to practice in Pennsylvania (license number BH007172) and her current practice location is
1329 N 56th St, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(215) 251-9139.
NPI number for Mrs Deirdre L Camacho-russell is 1760894752 and her current mailing address is 618 6th St, Atco, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760894752.
Healthcare Provider's Profile
Full Name | Mrs Deirdre L Camacho-russell |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 1329 N 56th St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760894752
- Provider Enumeration Date: 05/24/2014
- Last Update Date: 11/07/2024
Medical Identifiers
Medical identifiers for Mrs Deirdre L Camacho-russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760894752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | BH007172 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Deirdre L Camacho-russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Deirdre L Camacho-russell, MSP, LBS 618 6th St, Atco, NJ 08004-1113 Ph: (215) 251-9139 | Mrs Deirdre L Camacho-russell, MSP, LBS 1329 N 56th St, Philadelphia, PA 19131-4225 Ph: (215) 251-9139 |
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