DR. ANDREA A. RUSSELL PH.D. NPI 1013059526

NPI Information

  • NPI: 1013059526
  • Provider Name: DR. ANDREA A. RUSSELL, PH.D.
  • Classification: Technician, Other - 2472E0500X
  • Specialization: EEG
  • Entity Type: Individual
  • Address: 7660 E BROADWAY BLVD
    SUITE 207
    TUCSON, AZ
    ZIP 85710
  • Phone: (520) 885-0557

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NPI Details

DR. Andrea A. Russell, PH.D. is an eeg technician other in Tucson, AZ. DR. Andrea A. Russell, PH.D. NPI is 1013059526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7660 E BROADWAY BLVD
SUITE 207
TUCSON, AZ
ZIP 85710-774
Phone: (520) 885-0557

The enumeration date for this NPI number is 2/12/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TA0700XPsychologistAdult Development & AgingAZ LPC 1342ARIZONANo
2103TB0200XPsychologistCognitive & BehavioralAZ LPC 1342ARIZONANo
3103TC0700XPsychologistClinicalAZ LPC 1342ARIZONANo
4103TC1900XPsychologistCounselingAZ LPC 1342ARIZONANo
5103TC2200XPsychologistClinical Child & AdolescentAZ LPC 1342ARIZONANo
6103TF0000XPsychologistFamilyAZ LPC 1342ARIZONANo
7103TM1800XPsychologistIntellectual and Developmental DisabilitiesAZ LPC 1342ARIZONANo
8103T00000XPsychologistAZ LPC 1342ARIZONANo
9103TP2701XPsychologistGroup PsychotherapyAZ LPC 1342ARIZONANo
10246ZE0500XSpecialist/Technologist, OtherEEGAZ LPC 1342ARIZONANo
112472E0500XTechnician, OtherEEGAZ LPC 1342ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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