Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clement Street Russell, PSYD

Individual provider Clinical Psychologist · NPI 1851767974

Clement Street Russell, PSYD is a Clinical Psychologist in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2015
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

912 Lily Creek Rd #201
Louisville, KY 40243-2815
Phone: (502) 338-0608
Fax: (502) 245-1888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 170475 (KY)

Record details

NPI number1851767974
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 12, 2015
Last updated in NPPESOctober 4, 2016

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