Individual
DR. SARAH HERMANN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10585 N MERIDIAN ST, SUITE 340, INDIANAPOLIS, IN 46290-1069
(317) 580-4002
Mailing address
10585 N MERIDIAN ST, SUITE 340, INDIANAPOLIS, IN 46290-1069
(317) 580-4002
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20041482A
IN
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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