Russell, Stephanie
Russell, Stephanie is an individual health care provider with primary practice located at 21505 N 78Th Ave 125, Peoria AZ 85382-3356. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Russell, Stephanie can be contacted via phone (603) 535-8341.Contact Information
Primary practice address
21505 N 78Th Ave 125
Peoria AZ 85382-3356
Phone: (603) 535-8341
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1376926493 |
|---|---|
| LBN Legal business name | Russell, Stephanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2015 |
| Last updated | Jul 7th, 2015 - about 11 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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