Katherine Marie Russeau, PSYD is a
Psychologist - Clinical based in Pleasant Prairie, Wisconsin. Katherine Marie Russeau is licensed to practice in California (license number 35120) and her current practice location is
10956 Seasons Pl Unit 201, Pleasant Prairie, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(847) 494-0272.
NPI number for Katherine Marie Russeau is 1629802434 and her current mailing address is 10956 Seasons Pl Unit 201, Pleasant Prairie, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629802434.
Healthcare Provider's Profile
Full Name | Katherine Marie Russeau |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 10956 Seasons Pl Unit 201, Pleasant Prairie, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629802434
- Provider Enumeration Date: 08/26/2024
- Last Update Date: 08/26/2024
Medical Identifiers
Medical identifiers for Katherine Marie Russeau such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629802434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 35120 (California) | 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. Katherine Marie Russeau 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 |
Katherine Marie Russeau, PSYD 10956 Seasons Pl Unit 201, Pleasant Prairie, WI 53158-1239 Ph: (847) 494-0272 | Katherine Marie Russeau, PSYD 10956 Seasons Pl Unit 201, Pleasant Prairie, WI 53158-1239 Ph: (847) 494-0272 |
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