Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELE JEAN RUSIN, PH.D., ABPP
Active Sole ProprietorRehabilitation Psychologist · DECATUR, GA
Registration Details
- NPI Number
- 1649349689
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 6, 2006 (19.455526329478 yrs)
- Last Updated
- Jan 17, 2012
- License
-
01078 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1276 MCCONNELL DRIVESUITE CDECATUR, GA, 300333506Browse GA providers · Browse ZIP 30033
- Phone
- 4049299009
- Fax
- 4049299005
- Primary Specialty
-
Rehabilitation Psychologist
103TR0400X
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.