Russell, Katherine
Russell, Katherine is an individual health care provider with primary practice located at 10 Federal Street, Suite 307 , Salem MA 01970-5402. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Russell, Katherine can be contacted via phone (617) 758-8485.Contact Information
Primary practice address
10 Federal Street, Suite 307
Salem MA 01970-5402
Phone: (617) 758-8485
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 11135 | Massachusetts |
Profile Details
| NPI number | 1568839298 |
|---|---|
| LBN Legal business name | Russell, Katherine |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2015 |
| Last updated | Oct 14th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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