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Dr. Jaclyn Russo, PHD
Clinical Child & Adolescent Psychologist in Charlotte, North Carolina
NPI 1962280024

Jaclyn Russo is a Clinical Child & Adolescent Psychologist based in Charlotte, NC and is specialized in Clinical Child & Adolescent. Jaclyn Russo practices in Charlotte, NC and has the professional credentials of PHD. The NPI Number for Jaclyn Russo is 1962280024 and holds a License No. 6402 (North Carolina).

The current practice location address for Jaclyn Russo is 4722 Park Rd Ste B, Charlotte, NC and can be reached out via phone at 704-665-7424.

Location: 4722 Park Rd Ste B, Charlotte, NC, 28209-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962280024
Provider Name
Jaclyn Russo
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
4722 Park Rd Ste B, Charlotte, NC, 28209-3802
Phone Number
704-665-7424
Fax Number
Provider Enumeration Date
09/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4722 Park Rd Ste B
City
Charlotte
State
North Carolina
Zip
28209-3802
Phone Number
704-665-7424
Fax Number
person
Provider Business Mailing Address Details
Address
4722 Park Rd Ste B
City
Charlotte
State
North Carolina
Zip
28209-3802
Phone Number
704-665-7424
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
6402 (North Carolina)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
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