| Sue A Russell Phd Pc | |
|
628 7th Ave S Grand Forks ND 58201-4854 | |
| (701) 746-8737 | |
| (701) 746-4763 |
| Full Name | Sue A Russell Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 628 7th Ave S, Grand Forks, North Dakota |
| Authorized Official Name and Position | Sue Ann Russell (PRESIDENT) |
| Authorized Official Contact | 7017468737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sue A Russell Phd Pc 628 7th Ave S Grand Forks ND 58201-4854 Ph: (701) 746-8737 | Sue A Russell Phd Pc 628 7th Ave S Grand Forks ND 58201-4854 Ph: (701) 746-8737 |
| NPI Number | 1942371067 |
|---|---|
| Provider Enumeration Date | 11/11/2006 |
| Last Update Date | 02/27/2015 |
| Medicare PECOS PAC ID | 6204838436 |
|---|---|
| Medicare Enrollment ID | O20070131000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942371067 | NPI | - | NPPES |
| 11499 | Other | ND | BLUE CROSS BLUE SHIELD |
| 342553300 | Medicaid | MN | |
| 17418 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 241 (North Dakota) | Primary |
| Provider Name | Sue A Russell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043382773 PECOS PAC ID: 2567463391 Enrollment ID: I20070123000067 |
Stage Of Change Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4200 James Dr # 305, Grand Forks, ND 58202 Phone: 701-213-6999 | |
Family Institute, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077 | |
You Shine Too Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 S 4th St, Grand Forks, ND 58201 Phone: 701-787-1295 | |
Center For Psychiatric Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 44th Ave S, Unit A, Grand Forks, ND 58201 Phone: 701-732-2500 Fax: 701-732-2501 | |
Lipp, Carlson, Witucki & Associates, Ltd Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2808 17th Ave S, Grand Forks, ND 58201 Phone: 701-746-8376 Fax: 701-746-9872 | |
Cambian Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 24th Ave S, Grand Forks, ND 58201 Phone: 701-213-9993 | |
Woodnote Therapy Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1913 S Washington St, Grand Forks, ND 58201 Phone: 701-317-6590 |