Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL M BRAGG JR., PHD
Active Sole ProprietorDR. RUSSELL M BRAGG JR., PHD is a Psychologist healthcare provider located in KINGSTON, Washington. NPI 1558442152 is currently active in the NPPES registry. Verify at CMS.
Psychologist · KINGSTON, WA
Registration Details
- NPI Number
- 1558442152
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.85224722507 yrs)
- Last Updated
- Jul 21, 2014
- License
-
PY00001741 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9840 KINGSTON FARM RD NEKINGSTON, WA, 983468621Browse WA providers · Browse ZIP 98346
- Phone
- 3605091474
- Primary Specialty
-
Psychologist
103T00000X
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.