Doctor Name: | MS. ROBIN RUSSO |
NPI Number: | 1043427917 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 5842 |
Business Practice Address: | 600 Sandtree Dr Palm Beach Gardens, FL - 334031597 |
Business Phone Number: | 5613011408 |
Business Fax Number: | 5615864474 |
Mailing Address: | Po Box 7196, WEST PALM BEACH |
State: | FL |
Postal Code: | 334057196 |
Phone Number: | 5613011408 |
Fax Number: | 5615864474 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |