| Abby Russin, Ph.d., Llc | |
|
1516 Wyoming Ave Forty Fort PA 18704-4225 | |
| (570) 287-5200 | |
| (570) 609-1551 |
| Full Name | Abby Russin, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1516 Wyoming Ave, Forty Fort, Pennsylvania |
| Authorized Official Name and Position | Abby Russin (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 5702875200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abby Russin, Ph.d., Llc 1516 Wyoming Ave Forty Fort PA 18704-4225 Ph: (570) 287-5200 | Abby Russin, Ph.d., Llc 1516 Wyoming Ave Forty Fort PA 18704-4225 Ph: (570) 287-5200 |
| NPI Number | 1699912691 |
|---|---|
| Provider Enumeration Date | 01/13/2009 |
| Last Update Date | 09/02/2025 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 0042373151 |
|---|---|
| Medicare Enrollment ID | O20090415000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699912691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS016373 (Pennsylvania) | Primary |
| Provider Name | Abby R Reese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972704419 PECOS PAC ID: 5395839476 Enrollment ID: I20090415000476 |
John Della Rosa, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Welles St, Suite 114, Forty Fort, PA 18704 Phone: 570-331-2655 Fax: 570-331-2671 | |
Beyond Behavior Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-846-0455 | |
Jeffrey Fremont Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1264 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-288-8795 Fax: 570-288-3165 | |
Beyond Grateful Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Wyoming Ave, Forty Fort, PA 18704 Phone: 570-846-0455 Fax: 888-965-0581 |