Lillian Katherine Russell, is a
Behavior Analyst based in Peabody, Massachusetts. Lillian Katherine Russell is licensed to practice in * (Not Available) (license number ) and her current practice location is
9 Centennial Dr Unit 202, Peabody, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(978) 927-9410.
NPI number for Lillian Katherine Russell is 1760030779 and her current mailing address is 9 Centennial Dr Unit 202, Peabody, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760030779.
Healthcare Provider's Profile
Full Name | Lillian Katherine Russell |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 9 Centennial Dr Unit 202, Peabody, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760030779
- Provider Enumeration Date: 09/03/2019
- Last Update Date: 09/03/2019
Medical Identifiers
Medical identifiers for Lillian Katherine Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760030779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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. Lillian Katherine 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 |
Lillian Katherine Russell, 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 Ph: () - | Lillian Katherine Russell, 9 Centennial Dr Unit 202, Peabody, MA 01960-7940 Ph: (978) 927-9410 |
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