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Dr. Kelly L Russo, PHD
Clinical Psychologist in Orangeburg, South Carolina
NPI 1265664734

Kelly L Russo is a Clinical Psychologist based in Columbia, SC and is specialized in Clinical. Kelly L Russo practices in Orangeburg, SC and has the professional credentials of PHD. The NPI Number for Kelly L Russo is 1265664734 and holds a License No. PY-8336 (South Carolina).

The current practice location address for Kelly L Russo is 1767 Village Park Dr, Orangeburg, SC and can be reached out via phone at 803-776-4000 and via fax at 803-536-1719. You can also correspond with Kelly L Russo through the mailing address at 715 DARLINGTON ST, COLUMBIA, SC - 29201-1201 (mailing address contact number: 239-314-8511).

Location: 1767 Village Park Dr, Orangeburg, SC, 29201-1201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265664734
Provider Name
Kelly L Russo
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1767 Village Park Dr, Orangeburg, SC, 29201-1201
Phone Number
803-776-4000
Fax Number
803-536-1719
Provider Enumeration Date
08/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54516 05 ND
institution
Provider Business Practice Location Address Details
Address
1767 Village Park Dr
City
Orangeburg
State
South Carolina
Zip
29118-2475
Phone Number
803-776-4000
Fax Number
803-536-1719
person
Provider Business Mailing Address Details
Address
1767 Village Park Dr
City
Orangeburg
State
South Carolina
Zip
29118-2475
Phone Number
803-776-4000
Fax Number
803-536-1719
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PY-8336 (Florida)
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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