Doris M Russell in Bennington - Psychologist
Doris M Russell - NPI 1134140635
Doris M Russell is a Psychologist in Bennington, Vermont. Doris M Russell practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Doris M Russell is 1134140635. The last update date is 2015-10-02.
Doris M Russell's current location address is 100 Ledgehill Rd, Bennington, Vermont. You can contact this provider via phone number 8024425491 and fax number 8024423363. The mailing address for Doris M Russell is 100 Ledgehill Rd, Bennington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doris M Russell |
|---|---|
| Address | 100 Ledgehill Rd, Bennington, Vermont |
| Phone Number | 8024425491 |
| Fax Number | 8024423363 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1134140635 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2015-10-02 |
Provider Mailing Address Detail
| Address | 100 Ledgehill Rd |
|---|---|
| City | Bennington |
| State | Vermont (VT) |
| Post Code | 52012273 |
| Phone Number | 8024425491 |
| Fax Number | 8024423363 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 048-0000574 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29292 | BLUE CROSS | ||
| 1047191 | CIGNA | ||
| 0VN0552 | VT | -- | |
| 10022260 | CDPHP | ||
| 359506 | MANAGED HEALTH NET |
Post Comment/ Review Below
What is the unique identifier code issued to Doris M Russell by the Centers for Medicare & Medicaid Services?
The Doris M Russell has been assigned the NPI (National Provider Identifier) 1134140635. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Doris M Russell?
The Doris M Russell is physically situated at 100 Ledgehill Rd, in the city of Bennington, state of VT, with the postal code 52012273.
What is the area of specialization for Doris M Russell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Doris M Russell is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When did the Doris M Russell receive its 1134140635?
The Doris M Russell was issued its 1134140635 on 2006-07-21, which is the date when the organization was assigned this unique identifier.
When was the information regarding Doris M Russell most recently updated?
The details pertaining to the Doris M Russell, including its address, specialty, and other relevant information, were last refreshed on 2015-10-02.