IndividualActive
Judith Russell, PSYCHOLOGIST
NPI 1720276348 · Cognitive & Behavioral Psychologist · Ann Arbor, MI
Provider details
- NPI number
- 1720276348
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYCHOLOGIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6301008504 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1004 Miner St
Ann Arbor, MI 48103-3124
Phone: (734) 769-0245
Approximate (ZIP-level) locationGet directions
Mailing address
1004 Miner St
Ann Arbor, MI 48103-3124
Registry dates
- Enumerated
- 2007-10-09
- Last updated
- 2007-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.