Individual
DR. DAVID ALLAN RUSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
7401 CARMEL EXECUTIVE PARK DR, SUITE 210, CHARLOTTE, NC 28226-8275
(704) 752-8414
Mailing address
7401 CARMEL EXECUTIVE PARK DR, SUITE 210, CHARLOTTE, NC 28226-8275
(704) 752-8414
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2266
NC
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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