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Dr. Michele C Russell, PHD
Clinical Neuropsychologist in Fresno, California
NPI 1881614519

Michele C Russell is a Clinical Neuropsychologist based in Ahwahnee, CA. Michele C Russell practices in Fresno, CA and has the professional credentials of PHD. The NPI Number for Michele C Russell is 1881614519 and holds a License No. PSY20822 (California).

The current practice location address for Michele C Russell is 3313 N Hilliard St, Fresno, CA and can be reached out via phone at 559-227-4810 and via fax at 559-227-4167. You can also correspond with Michele C Russell through the mailing address at PO BOX 357, AHWAHNEE, CA - 93601-0357 (mailing address contact number: 559-908-1516).

Location: 3313 N Hilliard St, Fresno, CA, 93601-0357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881614519
Provider Name
Michele C Russell
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
3313 N Hilliard St, Fresno, CA, 93601-0357
Phone Number
559-227-4810
Fax Number
559-227-4167
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OPL208220 01 CA MEDICARE PTAN
PSY208220 01 CA MEDICAID PROVIDER NUMBER
PSY20822 01 CA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3313 N Hilliard St
City
Fresno
State
California
Zip
93726-5854
Phone Number
559-227-4810
Fax Number
559-227-4167
person
Provider Business Mailing Address Details
Address
3313 N Hilliard St
City
Fresno
State
California
Zip
93726-5854
Phone Number
559-227-4810
Fax Number
559-227-4167
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
PSY20822 (California)
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.
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