Russell M Bragg in Kingston - Psychologist

Russell M Bragg - NPI 1558442152

Russell M Bragg is a Psychologist in Kingston, Washington. Russell M Bragg practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Russell M Bragg is 1558442152. The last update date is 2014-07-21.

Russell M Bragg's current location address is 9840 Kingston Farm Rd Ne, Kingston, Washington. You can contact this provider via phone number 3605091474. The mailing address for Russell M Bragg is 9840 Kingston Farm Rd Ne, Kingston, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell M Bragg
Address 9840 Kingston Farm Rd Ne, Kingston, Washington
Phone Number 3605091474
Fax Number
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1558442152
Provider Enumeration Date 2006-10-18
Last Updated Date 2014-07-21

Provider Mailing Address Detail

Address 9840 Kingston Farm Rd Ne
City Kingston
State Washington (WA)
Post Code 983468621
Phone Number 3605091474
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY00001741
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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FAQs about Russell M Bragg

What is the unique 10-digit identifier code assigned to Russell M Bragg by the Centers for Medicare & Medicaid Services?

The Russell M Bragg has been issued the NPI (National Provider Identifier) 1558442152 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Russell M Bragg is physically located?

The Russell M Bragg is situated at the following address: 9840 Kingston Farm Rd Ne, Kingston, WA 983468621.

What is Russell M Bragg's specialized field of practice, and what is the corresponding taxonomy classification code?

The Russell M Bragg's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

On what date was the 1558442152 assigned to Russell M Bragg?

The Russell M Bragg was issued its 1558442152 on 2006-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Russell M Bragg last refreshed?

The information related to the Russell M Bragg, including its address, specialty, and other relevant details, was last updated on 2014-07-21.

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