About

Antonietta Anna Russo is a Psychologist in Murray, Utah. She graduated in 1997. She has over 17 years of experience. Antonietta A. Russo is a group member of Intermountain Healthcare Services, Inc. Contact Antonietta Anna Russo to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

PECOS ID: 5890682660

Entity Type: Individual; Sole Proprietor

Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.

Organization Name: L Craig Larsen Dpm PC

Gender

Female

Years in Practice

17 years

Healthcare Provider Taxonomy

  • Code: 103T00000X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Psychologist

Credentials

  • Doctor of Philosophy (P.H.D.)

HCPCS Codes

Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.

Code Code Description Service Count Beneficiary Count
90837 Psychotherapy, 60 minutes 120 15

Group Practices

Group practices this therapist belongs to includes:

Intermountain Healthcare Services, Inc
Address 5770 S 250
Suite G50
Murray, UT 84107-6165
Group PAC ID 1850209420
Group Members 2832

Licenses

Name License Number State
Psychologist 370566-2501 Verify UT

Education

Year Graduated
1997

Practice Locations

5801 Fashion Blvd

Ste 190

Murray, UT 84107-6159

Phone Number: (801) 314-4736

5770 S 250

Suite G50

Murray, UT 84107-6165

Phone Number: (801) 314-5000

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