Individual
JULIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
154 E MYRTLE AVE STE 204, MURRAY, UT 84107-4850
(801) 369-8989
(801) 704-9741
Mailing address
154 E MYRTLE AVE STE 204, MURRAY, UT 84107-4850
(801) 369-8989
(801) 704-9741
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12857677-2504
UT
Other
Enumeration date
05/29/2014
Last updated
07/13/2022
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