RUSSELL FEDERMAN

CHARLOTTESVILLE, VA
NPI1285972497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: VA  0810002911)
Enumeration Date2013-01-22
Last Update Date2013-01-22
Business Address
DR. RUSSELL FEDERMAN
918 9 1/2 ST NE
CHARLOTTESVILLE, VA 22902-5311
Phone number: 434-962-7495
Mailing Address
DR. RUSSELL FEDERMAN
918 9 1/2 ST NE
CHARLOTTESVILLE, VA 22902-5311
Phone number: 434-962-7495