Individual
SAMANTHA C RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UNM HEALTH SCIENCES CENTER MSC09-5030, ALBUQUERQUE, NM 87131
(505) 272-2223
Mailing address
UNM HEALTH SCIENCES CENTER MSC09-5030, ALBUQUERQUE, NM 87131
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
NM-PSY-2022-0029
NM
103TC0700X
Clinical Psychologist
Primary
PSY-2022-0029
NM
Other
Enumeration date
04/22/2020
Last updated
04/04/2023
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