Katherine Marie Russeau, Psy.D.
Psychologist, Clinical in Westlake Village, CA. Individual provider (NPI-1).
NPI number1629802434
StatusActive
Last updated in NPPESJan 9, 2025
Details
- NPI
- 1629802434
- Entity type
- Individual (NPI-1)
- Name
- Katherine Marie Russeau
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2024
- Certification date
- Jan 9, 2025
- Last updated
- Jan 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY35120 | CA | Yes |
Practice location
31194 La Baya Dr Ste 100Westlake Village, CA 91362-6420
Phone 805-242-2429 · Fax 310-870-7197
Mailing address
31194 La Baya Dr Ste 100Westlake Village, CA 91362-6420
Phone 805-242-2429 · Fax 310-870-7197
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