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MR. RUSSELL LEE DORE EDD, LP
NPI 1114125200
Psychologist - Clinical in Northville, MI

Active since July 10, 2007
215 E MAIN ST, #201, NORTHVILLE, MI 48167(248) 348-1100(248) 348-3410 Get Directions Write a Review

NPPES record last updated: July 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Russell Lee Dore Edd, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RUSSELL LEE DORE EDD, LP (NPI 1114125200) is an individual clinical provider in Northville, Michigan, licensed in Michigan (6301001278) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1114125200
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. RUSSELL LEE DORECredential: EDD, LP
Location Address215 E MAIN ST, #201Northville, MI 48167-1681
Mailing Address215 E Main St, #201Northville, MI 48167-1681 · (248) 348-1100 · Fax (248) 348-3410
Phone(248) 348-1100
Fax(248) 348-3410
Sole ProprietorNo
Enumeration DateJuly 10, 2007
✔ NPI 1114125200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301001278
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

215 E MAIN ST, Northville, MI 48167
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Other Identifiers 2

Other143449MI · Value Options
Other68OH201330MI · Bc/bs Of Michigan

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOWARD B. ADELSON, D.O., P.C.
Ophthalmology
215 E MAIN ST, SUITE 202
NORTHVILLE, MI 48167
Wayne County (248) 449-9292
MRS. DEANNE JENNIFER-MACIOLEK HOEFT PT
Physical Therapist
215 E MAIN ST, STE. B
NORTHVILLE, MI 48167
Wayne County (248) 349-9339
CARRIE SUE LUCE D.P.T.
Physical Therapist
215 E MAIN ST, STE. B
NORTHVILLE, MI 48167
Wayne County (248) 349-9339
MRS. JULIE RICKETT P.T.
Physical Therapist
215 E MAIN ST, SUITE B
NORTHVILLE, MI 48167
Wayne County (248) 349-9339
DIANE HRIVNAK O.T.
Occupational Therapy Assistant
215 E MAIN ST, SUITE B
NORTHVILLE, MI 48167
Wayne County (248) 349-9339
MR. GEORGE MARK DAIGLE PHD
Psychologist (Clinical)
215 E MAIN ST, #201
NORTHVILLE, MI 48167
Wayne County (248) 348-1100
BARBARA MARIE HAYES P.T.
Physical Therapist
215 E MAIN ST, STE. B
NORTHVILLE, MI 48167
Wayne County (248) 349-9339
MRS. DIANE ELIZABETH HUNT PT
Physical Therapist
215 E MAIN ST, STE. B
NORTHVILLE, MI 48167
Wayne County (248) 349-9339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Dore's NPI number?

The NPI number for Russell Dore is 1114125200. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Russell Dore located?

Russell Dore practices at 215 E Main St #201, Northville, MI 48167. The listed phone number is (248) 348-1100.

What is Russell Dore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Russell Dore was last updated on July 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.