DR. Russell M Bragg JR., PHD

NPI #1558442152 in Kingston, Washington

Provider Information

NPI Number: 1558442152
Entity Type: Individual
Name: DR. Russell M Bragg JR., PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Oct 18, 2006
Last Updated: Jul 21, 2014

Practice Location

Address: 9840 KINGSTON FARM RD NE
City: Kingston
State: Washington
ZIP Code: 98346-8621
Phone: (360) 509-1474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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