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Individual

ERIC U RUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2239 1/2 TALBOTT AVE, LOUISVILLE, KY 40205-2271
(502) 208-8794
Mailing address
2239 1/2 TALBOTT AVE, LOUISVILLE, KY 40205-2271
(502) 208-8794

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
130735
KY

Other

Enumeration date
06/07/2012
Last updated
07/08/2020
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