IndividualActive
Allen Russell
NPI 1033826136 · Adult Development & Aging Psychologist · Grand Rapids, MI
Provider details
- NPI number
- 1033826136
- Entity type
- Individual
- Primary specialty
- Adult Development & Aging PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
2529 Bridgeport Ln Se
Kentwood, MI 49508-8431
Registry dates
- Enumerated
- 2022-10-31
- Last updated
- 2022-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.