Andrea A. Russell in Tucson - Clinical Child & Adolescent

Andrea A. Russell - NPI 1013059526

Andrea A. Russell is a Clinical Child & Adolescent in Tucson, Arizona. Andrea A. Russell practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Andrea A. Russell is 1013059526. The last update date is 2007-07-08.

Andrea A. Russell's current location address is 7660 E Broadway Blvd, Tucson, Arizona. You can contact this provider via phone number 5208850557. The mailing address for Andrea A. Russell is 7660 E Broadway Blvd, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea A. Russell
Address 7660 E Broadway Blvd, Tucson, Arizona
Phone Number 5208850557
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1013059526
Provider Enumeration Date 2007-02-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7660 E Broadway Blvd
City Tucson
State Arizona (AZ)
Post Code 857103774
Phone Number 5208850557
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No AZ LPC 1342
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Andrea A. Russell

What is the Andrea A. Russell's unique identification number?

The Andrea A. Russell has been assigned the NPI (National Provider Identifier) Number 1013059526 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Andrea A. Russell is geographically located?

The Andrea A. Russell is physically situated at the following location: 7660 E Broadway Blvd, Tucson, AZ, 857103774.

What is Andrea A. Russell'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 Andrea A. Russell is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.

On what date was the 1013059526 assigned to Andrea A. Russell?

The Andrea A. Russell was issued its 1013059526 on 2007-02-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Andrea A. Russell most recently updated or revised?

The information pertaining to Andrea A. Russell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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