NPI 1043533474

Benaaz Russell, PSYD

Practitioner Clinical Psychologist West Palm Beach, FL

Practice location

Address: 1825 Forest Hill Blvd, West Palm Beach, FL 33406-8902
Phone: (240) 793-5784

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PY 7885 (FL)

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Registry record

NPI: 1043533474
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2010
Record last updated: 24 Aug 2010

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.