Individual
NATALIE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 AVON PL # 1, ARLINGTON, MA 02474-6603
(516) 455-8061
Mailing address
29 AVON PL # 1, ARLINGTON, MA 02474-6603
(516) 455-8061
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11684
MA
Other
Enumeration date
07/02/2020
Last updated
01/05/2022
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