Laura Ann Russo-Innamorat in Glen Mills - Clinical
Laura Ann Russo-Innamorat - NPI 1003900044
Laura Ann Russo-Innamorat is a Clinical in Glen Mills, Pennsylvania. Laura Ann Russo-Innamorat practices all healthcare services and medical treatments related to Clinical. The NPI Number for Laura Ann Russo-Innamorat is 1003900044. The last update date is 2021-10-19.
Laura Ann Russo-Innamorat's current location address is 1204 Holly Lane, Glen Mills, Pennsylvania. You can contact this provider via phone number 6103562100 and fax number 6103566645. The mailing address for Laura Ann Russo-Innamorat is 1204 Holly Lane, Glen Mills, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Ann Russo-Innamorat |
|---|---|
| Address | 1204 Holly Lane, Glen Mills, Pennsylvania |
| Phone Number | 6103562100 |
| Fax Number | 6103566645 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1003900044 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2021-10-19 |
Provider Mailing Address Detail
| Address | 1204 Holly Lane |
|---|---|
| City | Glen Mills |
| State | Pennsylvania (PA) |
| Post Code | 19342 |
| Phone Number | 6103562100 |
| Fax Number | 6103566645 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS017407 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Laura Ann Russo-Innamorat by the Centers for Medicare & Medicaid Services (CMS)?
The Laura Ann Russo-Innamorat has been assigned the NPI (National Provider Identifier) 1003900044. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Laura Ann Russo-Innamorat located?
The Laura Ann Russo-Innamorat is located at 1204 Holly Lane, Glen Mills, PA 19342.
What is Laura Ann Russo-Innamorat's area of expertise and its corresponding taxonomy classification?
The Laura Ann Russo-Innamorat's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When did Laura Ann Russo-Innamorat receive its 1003900044 assignment?
The Laura Ann Russo-Innamorat was assigned its 1003900044 on 2006-10-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Laura Ann Russo-Innamorat last refreshed?
The information related to the Laura Ann Russo-Innamorat, including its address, specialty, and other relevant details, was last updated on 2021-10-19.
NPI Number: 1699778829
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