Russell, Peggy
Russell, Peggy is an sole proprietor health care provider with primary practice located at 4509 Nw 23Rd Ave Ste D , Gainesville FL 32606-6570. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Russell, Peggy can be contacted via phone (772) 801-0802.Contact Information
Primary practice address
4509 Nw 23Rd Ave Ste D
Gainesville FL 32606-6570
Phone: (772) 801-0802
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY9008 | Florida |
Profile Details
| NPI number | 1811775133 |
|---|---|
| LBN Legal business name | Russell, Peggy |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2023 |
| Last updated | Sep 18th, 2023 - about 3 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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