Individual
DR. WILLIAM F. RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1241 VINE ST, SUITE 300, PHILADELPHIA, PA 19107-1111
(215) 405-2100
Mailing address
1241 VINE ST, PHILADELPHIA, PA 19107-1111
(215) 405-2100
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PS 006981 L
PA
Other
Enumeration date
01/05/2007
Last updated
04/29/2015
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