Individual provider · Type 1 NPI
Peggy Russell, PhD
Psychologist · Gainesville, FL
Practice location
4509 NW 23rd Ave Ste D
Gainesville, FL 32606-6570
Mailing address
3900 Oak Hammock Ln
Fort Pierce, FL 34981-4521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PY9008 (FL) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1811775133
Peggy Russell, PhD's National Provider Identifier is 1811775133, issued on Sep 18, 2023. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Gainesville, FL. The record was last updated on Sep 18, 2023.