Individual provider · Type 1 NPI

Clement Street Russell, PSY.D.

Clinical Psychologist · Louisville, KY

NPI number 1851767974 Active

Practice location

912 Lily Creek Rd, #201
Louisville, KY 40243-2815

Fax (502) 245-1888

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X170475 (KY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1851767974

Clement Street Russell, PSY.D.'s National Provider Identifier is 1851767974, issued on Aug 12, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Louisville, KY. The record was last updated on Oct 4, 2016.