STEPHANIE SUZANNE RUSSELL

BEND, OR
NPI1699810614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  1525)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
Dr. STEPHANIE SUZANNE RUSSELL Psy.D.
223 SE DAVIS AVE
BEND, OR 97702-1333
Phone number: 541-330-2254
Mailing Address
Dr. STEPHANIE SUZANNE RUSSELL Psy.D.
PO BOX 146
BEND, OR 97709-0146
Phone number: 541-330-2254