Michael Russo
Clinical Psychologist · Grafton, OH
Practice location
2500 Avon Belden RdGrafton, OH 44044-9802
- Phone
- (440) 748-5497
NPI record
- NPI
- 1376944892
- Entity type
- Individual (Type 1)
- Enumeration date
- September 16, 2014
- Last updated
- September 16, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Psychologist Primary | 103TC0700X |
4775 | OH |
About Michael Russo
Michael Russo is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 2500 Avon Belden Rd, Grafton, OH 44044-9802. The NPI number 1376944892 was assigned on September 16, 2014 and the record was last updated on September 16, 2014.
Michael Russo lists a license in the registry: #4775 (OH) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michael Russo?
The NPI number is 1376944892.
What is the phone number of Michael Russo?
The phone number listed for the practice location is (440) 748-5497.
Where is Michael Russo located?
2500 Avon Belden Rd, Grafton, OH 44044-9802.
What is the taxonomy code for Michael Russo?
The primary taxonomy code is 103TC0700X – Clinical Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.