Individual
DR. ALECIA MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
1444 SHADY LANE RD, COLUMBUS, OH 43227-2110
(614) 365-5391
(614) 365-5390
Mailing address
1444 SHADY LANE RD, COLUMBUS, OH 43230
(614) 365-5391
(614) 365-5390
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CL1010787
OH
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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