NPI 1245639418

Ivette Josefina Russo, PSYD

Practitioner Clinical Psychologist Apo, AP

Practice location

Address: 18th Medical Group, Unit 5142, Apo, AP 96368
Phone: (315) 632-0475
Mailing address: Unit 5142 Box 18th, Apo, AP 96368-5142

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY8970 (FL)

Other Psychologist providers in Armed Forces Pacific →

Registry record

NPI: 1245639418
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2014
Record last updated: 22 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.