Individual
KATHERINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10 FEDERAL STREET, SUITE 307, SALEM, MA 01970-5402
(617) 758-8485
Mailing address
234 BROADWAY #2, CAMBRIDGE, MA 02139
(508) 280-2260
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11135
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2015
Last updated
10/14/2019
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