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Contact Information

MICHAEL L RUSSELL SR, PhD
2525 NORTH LOOP WEST
SUITE 400
HOUSTON, TX77008
 Phone: 832-394-1440
 Fax: 832-394-1448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for MICHAEL L RUSSELL SR · (Male)

NPI # 1255304887
Status Active
Credentials PhD
Entity Individual
Enumeration date 02/13/2006
Last updated 09/22/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 38306
  • WA License # PY00002256
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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