Sue a Russell PHD PC
NPI #1942371067 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1942371067
- Entity Type
- Organization
- Organization Name
- Sue a Russell PHD PC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Nov 11, 2006
- Last Updated
- Feb 27, 2015
Practice Location
- Address
- 628 7TH AVE S
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201-4854
- Phone
- (701) 746-8737
Authorized Official
- Name
- DR. SUE ANN RUSSELL, PH.D.
- Title
- PRESIDENT
- Phone
- (701) 746-8737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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