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Individual

DR. LINDA GAIL RUSSEK

Active
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Individual

DR. LINDA GAIL RUSSEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3524
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0617840
BCBSAZ
AZ
01
340351
MHN
AZ
Enumeration date
01/05/2007
Last updated
07/08/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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