Individual
CHRISTINA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9900 E ILIFF AVE, DENVER, CO 80231-3462
(303) 636-5600
Mailing address
2915 BRIGHT SKY CT, SPRING, TX 77386-3360
(281) 475-3184
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY.0004395
CO
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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