Clemons, David Russell

Clemons, David Russell is an individual health care provider with primary practice located at 1012 Mo Pac Cir Suite 100, Austin TX 78746-6863. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Clemons, David Russell can be contacted via phone (512) 825-3283.

Contact Information

Primary practice address
1012 Mo Pac Cir Suite 100 Austin TX 78746-6863
Phone: (512) 825-3283
Fax: (512) 732-0811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 30534 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 30534 Texas
Behavioral Health & Social Service Providers / Family 103TF0000X 30534 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 30534 Texas

Profile Details

NPI number 1841207404
LBN Legal business name Clemons, David Russell
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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