Individual
DR. RICHARD KEITH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
450 W WILSON BRIDGE RD, SUITE 350, WORTHINGTON, OH 43085-2237
(614) 436-6080
Mailing address
450 W WILSON BRIDGE RD, SUITE 350, WORTHINGTON, OH 43085-2237
(614) 436-6080
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2141
OH
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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