Search › Rhode Island › 101YA0400X
David Russell, LCDP
NPI 1407234172 · on the registry since 2015
Practice
- Address
- 60 Comstock Ave
Providence, RI 02907 - Phone
- (401) 699-1088
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island