Dr. Kelly L Russo is a Orangeburg, South Carolina based psychologist who is specialized in Clinical Psychology. Active license number of Dr. Kelly L Russo is PY-8336 for Clinical Psychology in Florida. Her current practice location is 1767 Village Park Dr, Orangeburg. Patients can reach her at 803-776-4000 or can fax her at 803-536-1719. Dr. Kelly L Russo is PH.D. in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1265664734. Dr. Kelly L Russo is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Dr. Kelly L Russo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Kelly L Russo
Specialization:
Clinical Psychology
Gender:
Female
Credentials:
PH.D.
Practice Address:
1767 Village Park Dr, Orangeburg, South Carolina, 29118-2475
Phone:
803-776-4000
Fax:
803-536-1719
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1265664734
NPI Enumeration Date:
18 Aug, 2009
NPI Last Update On:
01 May, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly L Russo are as mentioned below.
License Number
Specialization
State
Status
PY-8336
Clinical Psychology
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kelly L Russo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
54516
Medicaid
North Dakota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Kelly L Russo 715 Darlington St, Columbia, South Carolina
Zip:
29201-1201
Phone Number:
239-314-8511
Patients can reach Dr. Kelly L Russo at 1767 Village Park Dr, Orangeburg, South Carolina or can call to book an appointment on 803-776-4000.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.