| Ms Robert L Russell, PHD | |
|
1000 N 92nd St, Child Development Center Of Chw, Milwaukee, WI 53226-3533 | |
| (414) 805-3666 | |
| Not Available |
| Full Name | Ms Robert L Russell |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 1000 N 92nd St, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922050608 | NPI | - | NPPES |
| 39139800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2428 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Robert L Russell, PHD 1000 N 92nd St, Child Development Center Of Chw, Milwaukee, WI 53226-3533 Ph: () - | Ms Robert L Russell, PHD 1000 N 92nd St, Child Development Center Of Chw, Milwaukee, WI 53226-3533 Ph: (414) 805-3666 |
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