Individual
DR. LESLIE ANN RUSSELL-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LMFT PH.D. LP
Contact information
Practice address
16016 233RD ST, LITTLE FALLS, MN 56345-5583
(320) 632-5524
(888) 991-2741
Mailing address
15920 233RD ST, LITTLE FALLS, MN 56345-5592
(320) 632-5524
(888) 991-2741
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP4924
MN
103T00000X
Psychologist
LP4924
MN
106H00000X
Marriage & Family Therapist
MN #1351
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360040800
—
MN
01
—
730T3RU
BCBS OF MN PROVIDER NUMBE
MN
Enumeration date
10/13/2006
Last updated
10/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us