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Contact Information

RUSSELL L PRICE JR, LCSW
VA NORTHERN INDIANA HEALTHCARE SYSTEM-SOUTH BEND ANNEX
340 COLUMBIA PLACE
SOUTH BEND, IN46601
 Phone: 260-415-5445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for RUSSELL L PRICE JR · (Male)

NPI # 1407288301
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/01/2013
Last updated 10/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3821
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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