Sue Ann Russell is a Clinical in Grand Forks, North Dakota. Sue Ann Russell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sue Ann Russell is 1043382773. The last update date is 2007-07-09.
Sue Ann Russell's current location address is 2704 Belmont Rd, Grand Forks, North Dakota. You can contact this provider via phone number 7017468737 and fax number 7017464763. The mailing address for Sue Ann Russell is 2704 Belmont Rd, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sue Ann Russell |
|---|---|
| Address | 2704 Belmont Rd, Grand Forks, North Dakota |
| Phone Number | 7017468737 |
| Fax Number | 7017464763 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1043382773 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2704 Belmont Rd |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582017538 |
| Phone Number | 7017468737 |
| Fax Number | 7017464763 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 241 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17418 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Sue Ann Russell by the Centers for Medicare & Medicaid Services?
The Sue Ann Russell has been assigned the NPI (National Provider Identifier) 1043382773 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Sue Ann Russell's facilities are situated?
The facilities of Sue Ann Russell are physically located at the following address: 2704 Belmont Rd, Grand Forks, ND, 582017538.
What is Sue Ann Russell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Sue Ann Russell is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043382773 to Sue Ann Russell?
The Centers for Medicare & Medicaid Services assigned the 1043382773 to Sue Ann Russell on 2006-11-15.
As of what date were the Sue Ann Russell's details last updated?
The information pertaining to the Sue Ann Russell, including its address, specialty, and other details, was most recently updated on 2007-07-09.