Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID LEE RUSSELL, ED.D.
ActiveDR. DAVID LEE RUSSELL, ED.D. is a Psychologist healthcare provider located in PORTAGE, Michigan. NPI 1548362171 is currently active in the NPPES registry. Verify at CMS.
Psychologist · PORTAGE, MI
Registration Details
- NPI Number
- 1548362171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2006 (19.920158517235 yrs)
- Last Updated
- Feb 8, 2008
- License
-
6301006163 (MI)
Practice Information
- Address
-
8036 MOORSBRIDGE ROADSUITE #2PORTAGE, MI, 490244417Browse MI providers · Browse ZIP 49024
- Phone
- 2693271438
- Fax
- 2693276454
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in PORTAGE, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES DARRELL COWART | PH.D | 1598746778 |
| DR. TIMOTHY JAMES HOWARD | ED.D. | 1396721247 |
| MICHAEL V BLOOM | PHD | 1477530392 |
| MR. BRIAN JAY FULLER | PH.D. | 1942258595 |
| PATRICIA SHULL-BLOOD | LLP | 1033169008 |
| STEPHANIE STEWART | LLP | 1386694909 |
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.