NPI 1073603163

Leslie Ann Russell-Martin, MSLMFTPHDLP

Practitioner Clinical Neuropsychologist Little Falls, MN

Practice location

Address: 16016 233rd St, Little Falls, MN 56345-5583
Phone: (320) 632-5524
Fax: (888) 991-2741
Mailing address: 15920 233rd St, Little Falls, MN 56345-5592

Registered specialties (3)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence LP4924 (MN)

Other Clinical Neuropsychologist providers in Minnesota →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence LP4924 (MN)

Other Psychologist providers in Minnesota →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MN #1351 (MN)

Other Marriage & Family Therapist providers in Minnesota →

Registry record

NPI: 1073603163
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Oct 2006
Record last updated: 24 Oct 2023

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.