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Organization
RUSSELL PSYCHOLOGICAL CORP.
Active
Organization
RUSSELL PSYCHOLOGICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RUSSELL PSYD (OWNER PRESIDENT)
(323) 446-2820
Entity
Organization
Contact information
Practice address
520 S GRAND AVE STE 671, LOS ANGELES, CA 90071-2655
(323) 446-2820
Mailing address
520 S GRAND AVE STE 671, LOS ANGELES, CA 90071-2655
(323) 446-2820
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
07/08/2020
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