| Dr Jaclyn Russo, PHD | |
|
4722 Park Rd Ste B, Charlotte, NC 28209-3802 | |
| (704) 665-7424 | |
| Not Available |
| Full Name | Dr Jaclyn Russo |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 4722 Park Rd Ste B, Charlotte, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962280024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 6402 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jaclyn Russo, PHD 4722 Park Rd Ste B, Charlotte, NC 28209-3802 Ph: (704) 665-7424 | Dr Jaclyn Russo, PHD 4722 Park Rd Ste B, Charlotte, NC 28209-3802 Ph: (704) 665-7424 |
Jennifer Manning Thomas, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 206, Charlotte, NC 28211 Phone: 704-381-8336 | |
Raquan Moser, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5108 Reagan Dr Ste 14, Charlotte, NC 28206 Phone: 704-332-8387 | |
Sara L Schara Mcanulty, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2610 E 7th St, Charlotte, NC 28204 Phone: 704-375-8900 Fax: 704-335-7178 | |
Dr. Rebecca Griffin Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 769 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-7180 Fax: 704-531-9266 | |
Chantel Simpson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17512 Chaco Ln, Charlotte, NC 28278 Phone: 718-926-0914 | |
Briana Melissa Webber-lind, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12815 Longstraw Rd, Charlotte, NC 28227 Phone: 704-490-5848 | |
Dr. Heather Noel Anschuetz-jeffers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10001 Old Concord Rd, Charlotte, NC 28213 Phone: 704-547-7483 Fax: 704-547-0052 |