Individual
DR. BRIAN PATRICK RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
730 NEW HAMPSHIRE ST STE 3M, LAWRENCE, KS 66044-3174
(785) 423-4234
Mailing address
730 NEW HAMPSHIRE ST STE 3M, LAWRENCE, KS 66044-3174
(785) 423-4234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1351
KS
103TC0700X
Clinical Psychologist
2006021325
MO
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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