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Joan Carol Russo, PHD
Clinical Psychologist in Oconomowoc, Wisconsin
NPI 1225037575

Joan Carol Russo is a Clinical Psychologist based in Oconomowoc, WI and is specialized in Clinical. Joan Carol Russo practices in Oconomowoc, WI and has the professional credentials of PHD. The NPI Number for Joan Carol Russo is 1225037575 and holds a License No. 1169 (Wisconsin).

The current practice location address for Joan Carol Russo is W340N6509 Breezy Point Rd, Oconomowoc, WI and can be reached out via phone at 262-490-9114.

Location: W340N6509 Breezy Point Rd, Oconomowoc, WI, 53066-5132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225037575
Provider Name
Joan Carol Russo
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
W340N6509 Breezy Point Rd, Oconomowoc, WI, 53066-5132
Phone Number
262-490-9114
Fax Number
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39114000 05 WI
institution
Provider Business Practice Location Address Details
Address
W340N6509 Breezy Point Rd
City
Oconomowoc
State
Wisconsin
Zip
53066-5132
Phone Number
262-490-9114
Fax Number
person
Provider Business Mailing Address Details
Address
W340N6509 Breezy Point Rd
City
Oconomowoc
State
Wisconsin
Zip
53066-5132
Phone Number
262-490-9114
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1169 (Wisconsin)
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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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