Individual
DR. LINDA GAIL RUSSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5440 N AIRWAY DR, TUCSON, AZ 85750-9627
(520) 749-4042
(520) 749-2481
Mailing address
5440 N AIRWAY DR, TUCSON, AZ 85750-9627
(520) 749-4042
(520) 749-2481
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
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