Active NPIIndividual provider

Doris M Russell, PHD

Psychologist, Clinical in Bennington, Vermont

NPI Number1134140635
Practice location
100 Ledgehill RD, Bennington, VT 05201-2273
Fax
802-442-3363
Last updated
October 2, 2015

Doris M Russell is a Psychologist, Clinical based in Bennington, VT. Doris M Russell practices in Bennington, VT and has the professional credentials of PHD. The NPI Number for Doris M Russell is 1134140635 and holds a License No. 048-0000574 (VT). The current practice location address for Doris M Russell is 100 Ledgehill RD, Bennington, VT 05201-2273 and can be reached out via phone at 802-442-5491 and via fax at 802-442-3363.

Provider Profile Details

NPI Number
1134140635
Provider Name
Doris M Russell
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
100 Ledgehill RD, Bennington, VT 05201-2273
Phone Number
802-442-5491
Fax Number
802-442-3363
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2006
Last Update Date
October 2, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Ledgehill RD
Bennington, VT 05201-2273
State
Vermont
Zip
05201-2273
Phone Number
802-442-5491
Fax Number
802-442-3363
Bennington, VT 05201Get directions →

Provider Business Mailing Address Details

Address
100 Ledgehill RD
Bennington, VT 05201-2273
City
Bennington
State
VT
Zip
05201-2273
Phone Number
802-442-5491
Fax Number
802-442-3363

License Information

License Number (1)
048-0000574
License State (1)
VT
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
048-0000574
License State (2)
VT
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Doris M Russell, PHD?

The NPI number of Doris M Russell, PHD is 1134140635. It was assigned on July 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Doris M Russell, PHD?

Doris M Russell, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in VT under license number 048-0000574.

Where does Doris M Russell, PHD practice?

The practice location is 100 Ledgehill RD, Bennington, VT 05201-2273. The office can be reached at 802-442-5491 (phone) or 802-442-3363 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134140635 directly on the NPPES registry website.

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