Dr. Kelly L Russo
PH.D. | Clinical Psychologist
1767 Village Park Dr, Orangeburg
South Carolina, 29118-2475
803-776-4000 803-536-1719
Maps & DirectionsDr. 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.