Russell, Katherine Elizabeth

Russell, Katherine Elizabeth is an individual health care provider with primary practice located at 242 Mason Ave , Staten Island NY 10305-3408. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Russell, Katherine Elizabeth can be contacted via phone (718) 226-3658.

Contact Information

Primary practice address
242 Mason Ave Staten Island NY 10305-3408
Phone: (718) 226-3658
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 024384 New York

Profile Details

NPI number 1801285093
LBN Legal business name Russell, Katherine Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2015
Last updated Sep 2nd, 2021 - about 3 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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