Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL A BOURNE JR., PH.D.
ActiveRUSSELL A BOURNE JR., PH.D. is a Clinical Psychologist healthcare provider located in JUPITER, Florida. NPI 1134166762 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · JUPITER, FL
Registration Details
- NPI Number
- 1134166762
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2006 (20.178965645989 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PY5579 (FL)
Practice Information
- Address
-
1025 MILITARY TRLSUITE 113JUPITER, FL, 334587040Browse FL providers · Browse ZIP 33458
- Phone
- 5617482889
- Fax
- 5617481523
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in JUPITER, FL
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH MICHAEL ROTHMAN | D,ED. | 1134129307 |
| DAVID SHAW | — | 1497741284 |
| DR. NANCY MARIE VRECHEK | PH.D. | 1295746006 |
| JONATHAN DAVID RAPP | PH.D. | 1780793505 |
| DR. ROBYN LYNN WALLACE | PH.D | 1598866071 |
| DR. KAREN MILLER | PH.D. | 1619045424 |
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.