Amanda Jayne Russell in Berkeley - Psychologist
Amanda Jayne Russell - NPI 1659470649
Amanda Jayne Russell is a Psychologist in Berkeley, California. Amanda Jayne Russell practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Amanda Jayne Russell is 1659470649. The last update date is 2007-07-08.
Amanda Jayne Russell's current location address is 2640 Martin Luther King Jr Way, Berkeley, California. You can contact this provider via phone number 5109815290 and fax number 5109815265. The mailing address for Amanda Jayne Russell is 2640 Martin Luther King Jr Way, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Jayne Russell |
|---|---|
| Address | 2640 Martin Luther King Jr Way, Berkeley, California |
| Phone Number | 5109815290 |
| Fax Number | 5109815265 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1659470649 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2640 Martin Luther King Jr Way |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947043238 |
| Phone Number | 5109815290 |
| Fax Number | 5109815265 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the Amanda Jayne Russell's unique identification number?
The Amanda Jayne Russell has been assigned the NPI (National Provider Identifier) Number 1659470649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Amanda Jayne Russell's facilities are situated?
The facilities of Amanda Jayne Russell are physically located at the following address: 2640 Martin Luther King Jr Way, Berkeley, CA, 947043238.
What is the Amanda Jayne Russell's specialty and taxonomy code?
The Amanda Jayne Russell's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659470649 to Amanda Jayne Russell?
The Centers for Medicare & Medicaid Services assigned the 1659470649 to Amanda Jayne Russell on 2006-09-22.
When was the information regarding Amanda Jayne Russell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Amanda Jayne Russell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1316940851
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