Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LESLIE ANN RUSSELL-MARTIN, M.S. LMFT PH.D. LP
Active Sole ProprietorDR. LESLIE ANN RUSSELL-MARTIN, M.S. LMFT PH.D. LP is a Clinical Neuropsychologist healthcare provider located in LITTLE FALLS, Minnesota. NPI 1073603163 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · LITTLE FALLS, MN
Registration Details
- NPI Number
- 1073603163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 13, 2006 (19.847857935478 yrs)
- Last Updated
- Oct 24, 2023
- Licenses
-
LP4924 (MN)MN #1351 (MN)LP4924 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16016 233RD STLITTLE FALLS, MN, 563455583Browse MN providers · Browse ZIP 56345
- Phone
- 3206325524
- Fax
- 8889912741
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Clinical Neuropsychologist
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.