NPI 1558644617

Susan F Russell, PHDTHDLACLMSW

Practitioner Acupuncturist Marietta, GA

Practice location

Address: 4343 Shallowford Rd Suite H-5, Marietta, GA 30062-5023
Phone: (770) 552-4155
Fax: (770) 552-4275

Registered specialties (3)

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 87 (GA)

Other Acupuncturist providers in Georgia →

Addiction (Substance Use Disorder) Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TA0400X Licence 001798 LMSW (GA)

Other Psychologist providers in Georgia →

Family Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TF0000X Licence 1798 LMSW (GA)

Registry record

NPI: 1558644617
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2011
Record last updated: 26 Sep 2011

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.