Individual
DR. MICHELE JEAN RUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., ABPP
Contact information
Practice address
1276 MCCONNELL DRIVE, SUITE C, DECATUR, GA 30033-3506
(404) 929-9009
(404) 929-9005
Mailing address
PO BOX 133207, ATLANTA, GA 30333-3207
(404) 929-9009
(404) 929-9005
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
01078
GA
Other
Enumeration date
11/06/2006
Last updated
01/17/2012
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