Mr Pasquale John Russoniello, MA - Psychologist in Drexel Hill, PA

Mr Pasquale John Russoniello, MA is a Psychologist based in Drexel Hill, Pennsylvania. Mr Pasquale John Russoniello is licensed to practice in Pennsylvania (license number PS002904-L) and his current practice location is 366 Fairfax Rd, Drexel Hill, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (610) 316-6944.

NPI number for Mr Pasquale John Russoniello is 1275740029 and his current mailing address is 366 Fairfax Rd, Drexel Hill, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275740029.

Contact Information

Mr Pasquale John Russoniello, MA
366 Fairfax Rd,
Drexel Hill, PA 19026-1007
(610) 316-6944
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Pasquale John Russoniello
GenderMale
SpecialityPsychologist
Location366 Fairfax Rd, Drexel Hill, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275740029
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 10/01/2021

Medical Identifiers

Medical identifiers for Mr Pasquale John Russoniello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275740029NPI-NPPES
11706713OtherPACAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PS002904L (Pennsylvania)Secondary
103T00000XPsychologist PS002904-L (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. Mr Pasquale John Russoniello 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 AddressPractice Location Address
Mr Pasquale John Russoniello, MA
366 Fairfax Rd,
Drexel Hill, PA 19026-1007

Ph: (610) 316-6944
Mr Pasquale John Russoniello, MA
366 Fairfax Rd,
Drexel Hill, PA 19026-1007

Ph: (610) 316-6944

Reviews and Comments


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