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

Mr. Pasquale John Russoniello, MA

Individual provider Clinical Psychologist · NPI 1275740029

Mr. Pasquale John Russoniello, MA is a Clinical Psychologist in Drexel Hill, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

366 Fairfax Rd
Drexel Hill, PA 19026-1007
Phone: (610) 316-6944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS002904-L (PA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS002904L (PA)

Record details

NPI number1275740029
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedMay 17, 2007
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021

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