Dr Andrea A Russell, PHD is a
Technician, Other - Eeg based in Tucson, Arizona. Dr Andrea A Russell is licensed to practice in Arizona (license number AZ LPC 1342) and her current practice location is
7660 E Broadway Blvd, Suite 207, Tucson, Arizona. She can be reached at her office (for appointments etc.) via phone at
(520) 885-0557.
NPI number for Dr Andrea A Russell is 1013059526 and her current mailing address is 7660 E Broadway Blvd, Suite 207, Tucson, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013059526.
Healthcare Provider's Profile
| Full Name | Dr Andrea A Russell |
|---|
| Gender | Female |
|---|
| Speciality | Technician, Other - Eeg |
|---|
| Location | 7660 E Broadway Blvd, Tucson, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013059526
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Dr Andrea A Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013059526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0700X | Psychologist - Adult Development & Aging | AZ LPC 1342 (Arizona) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | AZ LPC 1342 (Arizona) | Secondary |
| 103TC0700X | Psychologist - Clinical | AZ LPC 1342 (Arizona) | Secondary |
| 103TC1900X | Psychologist - Counseling | AZ LPC 1342 (Arizona) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | AZ LPC 1342 (Arizona) | Secondary |
| 103TF0000X | Psychologist - Family | AZ LPC 1342 (Arizona) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | AZ LPC 1342 (Arizona) | Secondary |
| 103T00000X | Psychologist | AZ LPC 1342 (Arizona) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | AZ LPC 1342 (Arizona) | Secondary |
| 246ZE0500X | Specialist/technologist, Other - Eeg | AZ LPC 1342 (Arizona) | Secondary |
| 2472E0500X | Technician, Other - Eeg | AZ LPC 1342 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrea A Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Andrea A Russell, PHD
7660 E Broadway Blvd, Suite 207,
Tucson, AZ 85710-3774
Ph: (520) 885-0557 | Dr Andrea A Russell, PHD
7660 E Broadway Blvd, Suite 207,
Tucson, AZ 85710-3774
Ph: (520) 885-0557 |
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