Russell, David Michael

Russell, David Michael is an individual health care provider with primary practice located at 1001 Farmington Ave Suite 304, West Hartford CT 06107-2135. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Russell, David Michael can be contacted via phone (860) 561-4841.

Contact Information

Primary practice address
1001 Farmington Ave Suite 304 West Hartford CT 06107-2135
Phone: (860) 561-4841
Fax: (860) 561-4891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1039 Connecticut

Profile Details

NPI number 1801006010
LBN Legal business name Russell, David Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Apr 9th, 2008 - 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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