Individual
DR. LAURIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9939 HIGHWAY 151, SAN ANTONIO, TX 78251-1900
(210) 706-7800
Mailing address
9939 HIGHWAY 151, SAN ANTONIO, TX 78251-1900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38677
TX
Other
Enumeration date
07/20/2021
Last updated
09/21/2022
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