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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALLEN FLOYD RUSSELL

Active Sole Proprietor

ALLEN FLOYD RUSSELL is a Adult Development & Aging Psychologist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1033826136 is currently active in the NPPES registry. Verify at CMS.

Adult Development & Aging Psychologist · GRAND RAPIDS, MI

Registration Details

NPI Number
1033826136
Provider Type
Individual
Gender
Female
NPI Issued
Oct 31, 2022 (3.5977294214977 yrs)
Last Updated
Oct 31, 2022
Sole Proprietor
Yes

Practice Information

Address
4488 BRETON RD SE
GRAND RAPIDS, MI, 495085270
Browse MI providers · Browse ZIP 49508
Phone
6163409026
Primary Specialty
Adult Development & Aging Psychologist
103TA0700X
Additional Specialty
Social Worker
Additional Specialty
Genetic Counselor
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.