Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joan Carol Russo, PHD

Individual provider Clinical Psychologist · NPI 1225037575

Joan Carol Russo, PHD is a Clinical Psychologist in Oconomowoc, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

W340N6509 Breezy Point Rd
Oconomowoc, WI 53066-5132
Phone: (262) 490-9114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1169 (WI)

Record details

NPI number1225037575
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 19, 2005
Last updated in NPPESJuly 7, 2014
Mailing addressW340n6509 Breezy Point Rd, Oconomowoc, WI 53066-5132

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