Doris M Russell is a Clinical in Bennington, Vermont. Doris M Russell practices all healthcare services and medical treatments related to Clinical. 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 |
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Address | 100 Ledgehill Rd, Bennington, Vermont |
Phone Number | 8024425491 |
Fax Number | 8024423363 |
Sole Proprietor | N |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1134140635 |
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Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2015-10-02 |
Provider Mailing Address Detail
Address | 100 Ledgehill Rd |
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City | Bennington |
State | Vermont (VT) |
Post Code | 52012273 |
Phone Number | 8024425491 |
Fax Number | 8024423363 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 048-0000574 |
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 |
---|---|---|---|
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 Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
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.