Individual
DR. PENELOPE LOUISE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5325 BRODER BLVD, DUBLIN, CA 94568-3309
(925) 551-6737
Mailing address
3373 DWIGHT WAY, BERKELEY, CA 94704-2522
(510) 981-1037
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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