Individual
EMILY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
249 HENDERSON AVE, CUMBERLAND, MD 21502-1638
(240) 362-7444
Mailing address
249 HENDERSON AVE, CUMBERLAND, MD 21502-1638
(240) 362-7444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0810007128
VA
103TC0700X
Clinical Psychologist
Primary
07181
MD
Other
Enumeration date
01/17/2019
Last updated
03/08/2024
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