Stephen A Russo, PHD | |
3300 Township Line Rd, Drexel Hill, PA 19026-1925 | |
(484) 818-2225 | |
(866) 818-4032 |
Full Name | Stephen A Russo |
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Gender | Male |
Speciality | Psychologist |
Location | 3300 Township Line Rd, Drexel Hill, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902041825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TE1100X | Psychologist - Exercise & Sports | PS015087 (Pennsylvania) | Secondary |
103T00000X | Psychologist | PS015087 (Pennsylvania) | Primary |
Entity Name | Methodist Associates In Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053355131 PECOS PAC ID: 6406755651 Enrollment ID: O20040402000835 |
Entity Name | Springfield Psychological Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295705317 PECOS PAC ID: 1456322973 Enrollment ID: O20040805001143 |
Mailing Address | Practice Location Address |
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Stephen A Russo, PHD Po Box 741, Media, PA 19063-0741 Ph: (484) 818-2225 | Stephen A Russo, PHD 3300 Township Line Rd, Drexel Hill, PA 19026-1925 Ph: (484) 818-2225 |
Mr. Pasquale John Russoniello, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 366 Fairfax Rd, Drexel Hill, PA 19026 Phone: 610-316-6944 | |
Dr. Ann Marie Mclaughlin, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5100 State Rd, Drexel Hill, PA 19026 Phone: 610-449-6087 Fax: 610-695-6319 | |
Dr. Citrini Nata Devi, PH.D., E-RYT, C-IAYT Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4700 Township Line Rd, Drexel Hill, PA 19026 Phone: 610-664-6446 Fax: 610-446-9642 | |
Theodore C Lewandowski, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1115 Cobbs St, Drexel Hill, PA 19026 Phone: 610-853-2495 | |
Dr. Erika M Dawkins, PSYD, MED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3-1 Bloomfield Ave, Drexel Hill, PA 19026 Phone: 484-202-0491 | |
Dr. Pamela Miller Lunardi, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3350 Township Line Rd, Drexel Hill, PA 19026 Phone: 610-853-8231 Fax: 610-853-8238 | |
Carolyn Roache, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1388 Dermond Rd, Drexel Hill, PA 19026 Phone: 484-680-0828 |