Individual
DR. DAVID MICHAEL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1001 FARMINGTON AVE, SUITE 304, WEST HARTFORD, CT 06107-2135
(860) 561-4841
(860) 561-4891
Mailing address
1001 FARMINGTON AVE, SUITE 304, WEST HARTFORD, CT 06107-2135
(860) 561-4841
(860) 561-4891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1039
CT
Other
Enumeration date
05/23/2007
Last updated
04/09/2008
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