Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CLEMENT STREET RUSSELL, PSY.D.

Active Sole Proprietor

CLEMENT STREET RUSSELL, PSY.D. is a Clinical Psychologist healthcare provider located in LOUISVILLE, Kentucky. NPI 1851767974 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · LOUISVILLE, KY

Registration Details

NPI Number: 1851767974
Provider Type: Individual
Gender: Male
NPI Issued: Aug 12, 2015 (10.984966167495 yrs)
Last Updated: Oct 4, 2016
License: 170475 (KY)
Sole Proprietor: Yes

Practice Information

Address: 912 LILY CREEK RD

#201

LOUISVILLE, KY, 402432815
Browse KY providers · Browse ZIP 40243
Phone: 5023380608
Fax: 5022451888
Primary Specialty: Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in LOUISVILLE, KY

Name	Credential	NPI
DR. PAULA A. BERRY	PH.D.	1760488555
DR. PATRICIA G. MCGINTY	PH.D.	1023018694
ROBERT ALLEN UNDERWOOD	PH.D.	1467444125
SHELDON L LEVINSON	PH.D.	1497748099
DR. JAMES P. BLOCH	PH.D.	1962497388
MR. JAMES COLBY THOMPSON	EDD	1710972807

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.