Individual
DR. RUSSELL RADENHAUSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
722 SCOTT ST, COVINGTON, KY 41011-2418
(859) 431-2225
(859) 431-2588
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 331-3292
(859) 578-2864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
531
KY
Other
Enumeration date
04/19/2006
Last updated
07/09/2007
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