Russell Stuart Gold in San Diego - Clinical
Russell Stuart Gold - NPI 1124236153
Russell Stuart Gold is a Clinical in San Diego, California. Russell Stuart Gold practices all healthcare services and medical treatments related to Clinical. The NPI Number for Russell Stuart Gold is 1124236153. The last update date is 2007-07-08.
Russell Stuart Gold's current location address is 4060 4th Ave, San Diego, California. You can contact this provider via phone number 6195741694 and fax number 6195741649. The mailing address for Russell Stuart Gold is 4060 4th Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Stuart Gold |
|---|---|
| Address | 4060 4th Ave, San Diego, California |
| Phone Number | 6195741694 |
| Fax Number | 6195741649 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124236153 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4060 4th Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921032116 |
| Phone Number | 6195741694 |
| Fax Number | 6195741649 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY6175 |
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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 |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Russell Stuart Gold by the Centers for Medicare & Medicaid Services?
The Russell Stuart Gold has been assigned the NPI (National Provider Identifier) 1124236153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Russell Stuart Gold's facilities are geographically located?
The facilities of Russell Stuart Gold are physically situated at the following location: 4060 4Th Ave, San Diego, CA, 921032116.
What is Russell Stuart Gold's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Russell Stuart Gold is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124236153 to Russell Stuart Gold?
The Centers for Medicare & Medicaid Services originally issued the 1124236153 to Russell Stuart Gold on 2007-05-21.
When was the information pertaining to Russell Stuart Gold most recently updated or revised?
The details related to Russell Stuart Gold, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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