Roger A Russell in Abilene - Psychologist

Roger A Russell - NPI 1396746947

Roger A Russell is a Psychologist in Abilene, Texas. Roger A Russell practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Roger A Russell is 1396746947. The last update date is 2012-01-19.

Roger A Russell's current location address is 1049 N 3rd St, Abilene, Texas. You can contact this provider via phone number 3256728883 and fax number 3256755833. The mailing address for Roger A Russell is 1049 N 3rd St, Abilene, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger A Russell
Address 1049 N 3rd St, Abilene, Texas
Phone Number 3256728883
Fax Number 3256755833
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1396746947
Provider Enumeration Date 2005-08-04
Last Updated Date 2012-01-19

Provider Mailing Address Detail

Address 1049 N 3rd St
City Abilene
State Texas (TX)
Post Code 796015833
Phone Number 3256728883
Fax Number 3256755833

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 2996-02-01 0
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0971830-01 TX --

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FAQs about Roger A Russell

What is the unique 10-digit identification code assigned to Roger A Russell by the Centers for Medicare & Medicaid Services?

The Roger A Russell has been issued the NPI (National Provider Identifier) 1396746947, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Roger A Russell is physically located?

The Roger A Russell is situated at the following address: 1049 N 3Rd St, Abilene, TX 796015833.

What is Roger A Russell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Roger A Russell is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1396746947 to Roger A Russell?

The Centers for Medicare & Medicaid Services originally issued the 1396746947 to Roger A Russell on 2005-08-04.

As of what date was the information pertaining to Roger A Russell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Roger A Russell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-19.

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