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Individual

DR. ANDREA A. RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
7660 E BROADWAY BLVD, SUITE 207, TUCSON, AZ 85710-3774
(520) 885-0557
Mailing address
7660 E BROADWAY BLVD, SUITE 207, TUCSON, AZ 85710-3774
(520) 885-0557

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
AZ LPC 1342
AZ
103TA0700X
Adult Development & Aging Psychologist
AZ LPC 1342
AZ
103TB0200X
Cognitive & Behavioral Psychologist
AZ LPC 1342
AZ
103TC0700X
Clinical Psychologist
AZ LPC 1342
AZ
103TC1900X
Counseling Psychologist
AZ LPC 1342
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
AZ LPC 1342
AZ
103TF0000X
Family Psychologist
AZ LPC 1342
AZ
103TM1800X
Intellectual & Developmental Disabilities Psychologist
AZ LPC 1342
AZ
103TP2701X
Group Psychotherapy Psychologist
AZ LPC 1342
AZ
246ZE0500X
EEG Specialist/Technologist
AZ LPC 1342
AZ
2472E0500X
EEG Technician
Primary
AZ LPC 1342
AZ

Other

Enumeration date
02/12/2007
Last updated
09/11/2025
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