IndividualActive
Andrea Russell, PH.D.
NPI 1013059526 · EEG Technician · Tucson, AZ
Provider details
- NPI number
- 1013059526
- Entity type
- Individual
- Primary specialty
- EEG TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- AZ LPC 1342 (AZ)
Practice location
7660 E Broadway Blvd
Suite 207
Tucson, AZ 85710-3774
Phone: (520) 885-0557
Mailing address
7660 E Broadway Blvd
Tucson, AZ 85710-3774
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.