National Provider Identifier
Elizabeth Bruce Russell
Elizabeth Bruce Russell is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Penfield, NY and a listed phone number of (585) 678-5133.
Profile Overview
- NPI
- 1235647082
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 15, 2018
- Last Updated
- January 15, 2018
Practice Location
- 21 Willow Pond Way Ste 204
- Penfield, NY 14526-2687
Phone: (585) 678-5133
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1235647082
- Entity Type
- Individual
- Last Name
- Russell
- First Name
- Elizabeth
- Middle Name
- Bruce
- Mailing Street Address
- 21 Willow Pond Way Ste 204
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-2687
- Mailing Country
- US
- Mailing Phone
- (585) 678-5133
- Practice Street Address
- 21 Willow Pond Way Ste 204
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-2687
- Practice Country
- US
- Practice Phone
- (585) 678-5133
- Enumeration Date
- January 15, 2018
- Last Updated
- January 15, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)