| Russell James Group, P.a. | |
|
857 Park Ave Baltimore MD 21201-4800 | |
| (410) 244-0227 | |
| (866) 695-6454 |
| Full Name | Russell James Group, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 857 Park Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Russell J Hibler (OWNER) |
| Authorized Official Contact | 4107212133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell James Group, P.a. 1589 Eton Way Crofton MD 21114-1524 Ph: (410) 721-2133 | Russell James Group, P.a. 857 Park Ave Baltimore MD 21201-4800 Ph: (410) 244-0227 |
| NPI Number | 1710228739 |
|---|---|
| Provider Enumeration Date | 03/15/2013 |
| Last Update Date | 02/12/2015 |
| Medicare PECOS PAC ID | 9335388610 |
|---|---|
| Medicare Enrollment ID | O20130618000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710228739 | NPI | - | NPPES |
| 1700842903 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 01803 (Maryland) | Primary |
| Provider Name | Russell J Hibler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700842903 PECOS PAC ID: 0547345324 Enrollment ID: I20080305000061 |
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