Individual
DR. RUSS A RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
1701 LIBRARY BLVD, SUITE E, GREENWOOD, IN 46142-1567
(317) 889-5612
(317) 889-5912
Mailing address
742 RAMBLIN RD, GREENWOOD, IN 46142-8351
(317) 881-9476
(317) 889-5912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20040529
IN
Other
Enumeration date
08/05/2006
Last updated
07/09/2007
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