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Harold Russell
Intellectual & Developmental Disabilities Psychologist in Milford, Delaware
NPI 1083218648

Harold Russell is a Intellectual & Developmental Disabilities Psychologist based in Milford, DE and is specialized in Intellectual & Developmental Disabilities. Harold Russell practices in Milford, DE. The NPI Number for Harold Russell is 1083218648 and holds a License No. (Delaware).

The current practice location address for Harold Russell is 611 Canterbury Rd, Milford, DE and can be reached out via phone at 302-573-1247.

Location: 611 Canterbury Rd, Milford, DE, 19963-5336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083218648
Provider Name
Harold Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
611 Canterbury Rd, Milford, DE, 19963-5336
Phone Number
302-573-1247
Fax Number
Provider Enumeration Date
11/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000536 05 DE
institution
Provider Business Practice Location Address Details
Address
611 Canterbury Rd
City
Milford
State
Delaware
Zip
19963-5336
Phone Number
302-573-1247
Fax Number
person
Provider Business Mailing Address Details
Address
611 Canterbury Rd
City
Milford
State
Delaware
Zip
19963-5336
Phone Number
302-573-1247
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
()
Definition
Definition to come...
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