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Dr. Leslie Ann Russell-martin, MSLMFTPHDLP
Clinical Neuropsychologist in Little Falls, Minnesota
NPI 1073603163

Leslie Ann Russell-martin is a Clinical Neuropsychologist based in Little Falls, MN. Leslie Ann Russell-martin practices in Little Falls, MN and has the professional credentials of MSLMFTPHDLP. The NPI Number for Leslie Ann Russell-martin is 1073603163 and holds a License No. LP4924 (Minnesota).

The current practice location address for Leslie Ann Russell-martin is 16016 233Rd St, Little Falls, MN and can be reached out via phone at 320-632-5524 and via fax at 888-991-2741.

Location: 16016 233Rd St, Little Falls, MN, 56345-5592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073603163
Provider Name
Leslie Ann Russell-martin
Credential
MSLMFTPHDLP
Provider Entity Type
Individual
Gender
Female
Address
16016 233Rd St, Little Falls, MN, 56345-5592
Phone Number
320-632-5524
Fax Number
888-991-2741
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
360040800 05 MN
730T3RU 01 MN BCBS OF MN PROVIDER NUMBE
institution
Provider Business Practice Location Address Details
Address
16016 233Rd St
City
Little Falls
State
Minnesota
Zip
56345-5583
Phone Number
320-632-5524
Fax Number
888-991-2741
person
Provider Business Mailing Address Details
Address
16016 233Rd St
City
Little Falls
State
Minnesota
Zip
56345-5583
Phone Number
320-632-5524
Fax Number
888-991-2741
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
LP4924 (Minnesota)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
MN #1351 (Minnesota)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
LP4924 (Minnesota)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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