Whalio Doctors

NPI 1043382773

Sue Ann Russell, PHD

Practitioner Clinical Psychologist Grand Forks, ND

Practice location

Address
2704 Belmont Rd, Grand Forks, ND 58201-7538
Phone
(701) 746-8737
Fax
(701) 746-4763

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 241 (ND)

Registry record

NPI
1043382773
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Nov 2006
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.