Russell, Stephanie Suzanne
Russell, Stephanie Suzanne is an sole proprietor health care provider with primary practice located at 223 Se Davis Ave , Bend OR 97702-1333. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russell, Stephanie Suzanne can be contacted via phone (541) 330-2254.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1525 | Oregon |
Profile Details
| NPI number | 1699810614 |
|---|---|
| LBN Legal business name | Russell, Stephanie Suzanne |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 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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