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:
Health care specialties
| Specialty | Code | License # | 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 19 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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