NPI 1134140635

Doris M Russell, PHD

Practitioner Clinical Psychologist Bennington, VT

Practice location

Address: 100 Ledgehill Rd, Bennington, VT 05201-2273
Phone: (802) 442-5491
Fax: (802) 442-3363

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 048-0000574 (VT)

Other Psychologist providers in Vermont →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 048-0000574 (VT)

Registry record

NPI: 1134140635
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2006
Record last updated: 2 Oct 2015

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.