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Dr. David Lee Russell, EDD
Psychologist in Portage, Michigan
NPI 1548362171

David Lee Russell is a Psychologist based in Portage, MI. David Lee Russell practices in Portage, MI and has the professional credentials of EDD. The NPI Number for David Lee Russell is 1548362171 and holds a License No. 6301006163 (Michigan).

The current practice location address for David Lee Russell is 8036 Moorsbridge Road, Portage, MI and can be reached out via phone at 269-327-1438 and via fax at 269-327-6454.

Location: 8036 Moorsbridge Road, Portage, MI, 49081-2585
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548362171
Provider Name
David Lee Russell
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
8036 Moorsbridge Road, Portage, MI, 49081-2585
Phone Number
269-327-1438
Fax Number
269-327-6454
Provider Enumeration Date
09/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OC910420 01 BCBS
OC94582 01 BCBS
institution
Provider Business Practice Location Address Details
Address
8036 Moorsbridge Road
City
Portage
State
Michigan
Zip
49024-4417
Phone Number
269-327-1438
Fax Number
269-327-6454
person
Provider Business Mailing Address Details
Address
8036 Moorsbridge Road
City
Portage
State
Michigan
Zip
49024-4417
Phone Number
269-327-1438
Fax Number
269-327-6454
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
6301006163 (Michigan)
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.
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