Russell, Penelope Louise

Russell, Penelope Louise is an individual health care provider with primary practice located at 5325 Broder Blvd , Dublin CA 94568-3309. She recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as her primary health care specialty. Russell, Penelope Louise can be contacted via phone (925) 551-6737.

Contact Information

Primary practice address
5325 Broder Blvd Dublin CA 94568-3309
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1508061516
LBN Legal business name Russell, Penelope Louise
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Jul 8th, 2007 - about 18 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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