Search › Pennsylvania › 103TF0200X
William Russell, PH.D
NPI 1801943469 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1241 Vine St
Suite 300
Philadelphia, PA 19107 - Phone
- (215) 405-2100
- Organisation at this address
- Forensic Mental Health Service, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TF0200X
103TF0200X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-29
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 Pennsylvania