Allen Floyd Russell, is a
Psychologist - Adult Development & Aging based in Grand Rapids, Michigan. Allen Floyd Russell is licensed to practice in * (Not Available) (license number ) and her current practice location is
4488 Breton Rd Se, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at
(616) 340-9026.
NPI number for Allen Floyd Russell is 1033826136 and her current mailing address is 2529 Bridgeport Ln Se, Kentwood, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033826136.
Healthcare Provider's Profile
| Full Name | Allen Floyd Russell |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Adult Development & Aging |
|---|
| Location | 4488 Breton Rd Se, Grand Rapids, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033826136
- Provider Enumeration Date: 10/31/2022
- Last Update Date: 10/31/2022
Medical Identifiers
Medical identifiers for Allen Floyd Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033826136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Primary |
| 174200000X | Meals | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 311500000X | Alzheimer Center (dementia Center) | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Allen Floyd Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Allen Floyd Russell,
2529 Bridgeport Ln Se,
Kentwood, MI 49508-8431
Ph: (616) 340-9026 | Allen Floyd Russell,
4488 Breton Rd Se,
Grand Rapids, MI 49508-5270
Ph: (616) 340-9026 |
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