DR. Gillian Isaacs Russell, PH.D., NCPSYA

NPI #1568855369 in Boulder, Colorado

Provider Information

NPI Number: 1568855369
Entity Type: Individual
Name: DR. Gillian Isaacs Russell, PH.D., NCPSYA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychoanalyst
Credential: PH.D., NCPSYA
Enumeration Date: Mar 18, 2015
Last Updated: Mar 18, 2015

Practice Location

Address: 100 ARAPAHOE AVE
Address 2: SUITE 12
City: Boulder
State: Colorado
ZIP Code: 80302-5854
Phone: (605) 431-5022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychoanalyst	102L00000X	Primary

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