Russell Richard Woessner in Philadelphia - Clinical Neuropsychologist
Russell Richard Woessner - NPI 1689629016
Russell Richard Woessner is a Clinical Neuropsychologist in Philadelphia, Pennsylvania. Russell Richard Woessner practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Russell Richard Woessner is 1689629016. The last update date is 2007-07-08.
Russell Richard Woessner's current location address is 640 W Phil Ellena St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158448479. The mailing address for Russell Richard Woessner is 640 W Phil Ellena St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Richard Woessner |
|---|---|
| Address | 640 W Phil Ellena St, Philadelphia, Pennsylvania |
| Phone Number | 2158448479 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1689629016 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 640 W Phil Ellena St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191193523 |
| Phone Number | 2158448479 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PS006857L |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the Russell Richard Woessner's unique identification number?
The Russell Richard Woessner has been assigned the NPI (National Provider Identifier) Number 1689629016 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Russell Richard Woessner's physical address?
The Russell Richard Woessner is physically located at 640 W Phil Ellena St, in the city of Philadelphia, PA, with the postal code 191193523.
When did the Russell Richard Woessner receive its 1689629016?
The Russell Richard Woessner was issued its 1689629016 on 2006-05-24, which is the date when the organization was assigned this unique identifier.
As of what date were the Russell Richard Woessner's details last updated?
The information pertaining to the Russell Richard Woessner, including its address, specialty, and other details, was most recently updated on 2007-07-08.
As of what date were the details related to Russell Richard Woessner most recently updated or revised?
The information pertaining to Russell Richard Woessner, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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