| Joan Carol Russo, PHD | |
|
W340n6509 Breezy Point Rd, Oconomowoc, WI 53066-5132 | |
| (262) 490-9114 | |
| Not Available |
| Full Name | Joan Carol Russo |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | W340n6509 Breezy Point Rd, Oconomowoc, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225037575 | NPI | - | NPPES |
| 39114000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1169 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Joan Carol Russo, PHD W340n6509 Breezy Point Rd, Oconomowoc, WI 53066-5132 Ph: (262) 490-9114 | Joan Carol Russo, PHD W340n6509 Breezy Point Rd, Oconomowoc, WI 53066-5132 Ph: (262) 490-9114 |
Bonita Jean Debban, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 970 S Silver Lake St, Oconomowoc, WI 53066 Phone: 262-567-7900 Fax: 262-567-7908 | |
Anne L Felden, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36100 Genesee Lake Rd, Oconomowoc, WI 53066 Phone: 262-443-1236 | |
Dr. Ian R Powell, M.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-646-1391 Fax: 262-646-1393 | |
Samuel Cares, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 262-720-1383 | |
Dr. Patric William Mattek, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 970 S Silver Lake St Ste 102, Oconomowoc, WI 53066 Phone: 262-569-7100 Fax: 262-567-6295 | |
Dr. Bradley Christopher Riemann, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 800-767-4411 Fax: 262-646-7067 |