Organization
LITA W. RUSSELL, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LITA W RUSSELL PH.D. (LICENSED PSYCHOLOGIST)
(919) 360-6867
Entity
Organization
Contact information
Practice address
141 PROVIDENCE RD STE 100, CHAPEL HILL, NC 27514-6219
(919) 601-7985
Mailing address
141 PROVIDENCE RD STE 100, CHAPEL HILL, NC 27514-6219
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
07/10/2023
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