Dr Amy Bonifay Russell, PSY D - Psychologist in Salt Lake City, UT

Dr Amy Bonifay Russell, PSY D is a Psychologist - Clinical based in Salt Lake City, Utah. Dr Amy Bonifay Russell is licensed to practice in Utah (license number 4802206-2501) and her current practice location is 2469 E Fort Union Blvd Ste 206, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 300-6223.

NPI number for Dr Amy Bonifay Russell is 1275916223 and her current mailing address is 2469 East Fort Union Blvd #206, Slc, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275916223.

Contact Information

Dr Amy Bonifay Russell, PSY D
2469 E Fort Union Blvd Ste 206,
Salt Lake City, UT 84121-3417
(801) 300-6223
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Amy Bonifay Russell
GenderFemale
SpecialityPsychologist - Clinical
Location2469 E Fort Union Blvd Ste 206, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1275916223
  • Provider Enumeration Date: 07/08/2015
  • Last Update Date: 07/08/2015

Medical Identifiers

Medical identifiers for Dr Amy Bonifay Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275916223NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 4802206-2501 (Utah)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. Dr Amy Bonifay 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 AddressPractice Location Address
Dr Amy Bonifay Russell, PSY D
2469 East Fort Union Blvd #206,
Slc, UT 84121

Ph: (801) 300-6223
Dr Amy Bonifay Russell, PSY D
2469 E Fort Union Blvd Ste 206,
Salt Lake City, UT 84121-3417

Ph: (801) 300-6223

Reviews and Comments


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