DR. R Russ, PH.D., SUDP
NPI #1023449634 in Longview, Washington
Provider Information
- NPI Number
- 1023449634
- Entity Type
- Individual
- Name
- DR. R Russ, PH.D., SUDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PH.D., SUDP
- Enumeration Date
- Dec 6, 2013
- Last Updated
- May 12, 2025
Practice Location
- Address
- 1548 RIVER RD UNIT 105
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-3293
- Phone
- (520) 260-4584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Psychologist |
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