David Patrick Russo in Holden - Mental Health
David Patrick Russo - NPI 1871605113
David Patrick Russo is a Mental Health in Holden, Massachusetts. David Patrick Russo practices all healthcare services and medical treatments related to Mental Health. The NPI Number for David Patrick Russo is 1871605113. The last update date is 2019-11-05.
David Patrick Russo's current location address is 800 Main St, Holden, Massachusetts. You can contact this provider via phone number 5088294242. The mailing address for David Patrick Russo is 800 Main St, Holden, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Patrick Russo |
|---|---|
| Address | 800 Main St, Holden, Massachusetts |
| Phone Number | 5088294242 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA, LMFT, |
NPI Number Detail
| NPI Number | 1871605113 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2019-11-05 |
Provider Mailing Address Detail
| Address | 800 Main St |
|---|---|
| City | Holden |
| State | Massachusetts (MA) |
| Post Code | 15201838 |
| Phone Number | 5088294242 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 3364 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to David Patrick Russo by the Centers for Medicare & Medicaid Services?
The David Patrick Russo has been issued the NPI (National Provider Identifier) 1871605113. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where David Patrick Russo is physically located?
The David Patrick Russo is situated at the following address: 800 Main St, Holden, MA 15201838.
What is David Patrick Russo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David Patrick Russo is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the David Patrick Russo receive the assignment of its 1871605113 from the Centers for Medicare & Medicaid Services?
The David Patrick Russo was issued its 1871605113 by the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information pertaining to David Patrick Russo most recently updated or revised?
The details related to David Patrick Russo, including its address, specialty, and other relevant information, were last updated or revised on 2019-11-05.