NPI 1568855369

Gillian Isaacs Russell, PHDNCPSYA

Practitioner Psychoanalyst Boulder, CO

Practice location

Address: 100 Arapahoe Ave Suite 12, Boulder, CO 80302-5854
Phone: (605) 431-5022

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence NLC.0105131 (CO)

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Registry record

NPI: 1568855369
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2015
Record last updated: 18 Mar 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.