Russell Dean Park is a Clinical in Jamestown, California. Russell Dean Park practices all healthcare services and medical treatments related to Clinical. The NPI Number for Russell Dean Park is 1326020710. The last update date is 2013-04-04.
Russell Dean Park's current location address is 5100 O'byrnes Ferry Rd., Jamestown, California. You can contact this provider via phone number 2099845291. The mailing address for Russell Dean Park is 5100 O'byrnes Ferry Rd., Jamestown, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Dean Park |
|---|---|
| Address | 5100 O'byrnes Ferry Rd., Jamestown, California |
| Phone Number | 2099845291 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1326020710 |
|---|---|
| Provider Enumeration Date | 2005-11-19 |
| Last Updated Date | 2013-04-04 |
Provider Mailing Address Detail
| Address | 5100 O'byrnes Ferry Rd. |
|---|---|
| City | Jamestown |
| State | California (CA) |
| Post Code | 95327 |
| Phone Number | 2099845291 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY14275 |
|
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 |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Russell Dean Park?
The Russell Dean Park has been issued the NPI (National Provider Identifier) 1326020710 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Russell Dean Park is located?
The Russell Dean Park is situated at the following address: 5100 O'Byrnes Ferry Rd., Jamestown, CA, 95327.
What is the Russell Dean Park's specialty and taxonomy code?
The Russell Dean Park's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326020710 to Russell Dean Park?
The Russell Dean Park received its 1326020710 assignment from the Centers for Medicare & Medicaid Services on 2005-11-19.
As of what date were the details pertaining to Russell Dean Park last refreshed?
The information related to the Russell Dean Park, including its address, specialty, and other relevant details, was last updated on 2013-04-04.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN