Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT RUSSELL, ED.S.
Active Sole ProprietorSchool Psychologist · FLINT, MI
Registration Details
- NPI Number
- 1861813628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2013 (12.335325795302 yrs)
- Last Updated
- Dec 21, 2013
- License
-
CC-1C4740407757 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1009 WOODLAWN PARK DRFLINT, MI, 485032762Browse MI providers · Browse ZIP 48503
- Phone
- 8102520443
- Primary Specialty
-
School Psychologist
103TS0200X
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.