Russell Lee Dore is a Clinical in Northville, Michigan. Russell Lee Dore practices all healthcare services and medical treatments related to Clinical. The NPI Number for Russell Lee Dore is 1114125200. The last update date is 2007-07-10.
Russell Lee Dore's current location address is 215 E Main St, Northville, Michigan. You can contact this provider via phone number 2483481100 and fax number 2483483410. The mailing address for Russell Lee Dore is 215 E Main St, Northville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Lee Dore |
|---|---|
| Address | 215 E Main St, Northville, Michigan |
| Phone Number | 2483481100 |
| Fax Number | 2483483410 |
| Sole Proprietor | N |
| Credentials | EDD, LP |
NPI Number Detail
| NPI Number | 1114125200 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 215 E Main St |
|---|---|
| City | Northville |
| State | Michigan (MI) |
| Post Code | 481671681 |
| Phone Number | 2483481100 |
| Fax Number | 2483483410 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301001278 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 143449 | MI | VALUE OPTIONS | |
| 68OH201330 | MI | BC/BS OF MICHIGAN |
Post Comment/ Review Below
What is the Russell Lee Dore's 1114125200?
The Russell Lee Dore's NPI (National Provider Identifier) Number is 1114125200. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Russell Lee Dore is located?
The Russell Lee Dore is situated at the following address: 215 E Main St, Northville, MI, 481671681.
What is Russell Lee Dore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Russell Lee Dore is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1114125200 assigned to Russell Lee Dore?
The Russell Lee Dore was issued its 1114125200 on 2007-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Russell Lee Dore most recently updated?
The details pertaining to the Russell Lee Dore, including its address, specialty, and other relevant information, were last refreshed on 2007-07-10.
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE
NPI Number: 1255325304
Address: 225 Abraham Flexner Way Ste 650, Louisville, KY