Individual
DR. RUSSELL DEWARD CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7516 ENTERPRISE, SUITE 1, GERMANTOWN, TN 38138
(901) 755-5802
(901) 757-2249
Mailing address
7516 ENTERPRISE, SUITE 1, GERMANTOWN, TN 38138
(901) 755-5802
(901) 757-2249
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
29406
MS
103T00000X
Psychologist
Primary
P773
TN
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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