Gold, Russell Stuart

Gold, Russell Stuart is an individual health care provider with primary practice located at 4060 4Th Ave Suite 615, San Diego CA 92103-2116. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gold, Russell Stuart can be contacted via phone (619) 574-1694.

Contact Information

Primary practice address
4060 4Th Ave Suite 615 San Diego CA 92103-2116
Phone: (619) 574-1694
Fax: (619) 574-1649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY6175 California
Behavioral Health & Social Service Providers / Family 103TF0000X PSY6175 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY6175 California

Profile Details

NPI number 1124236153
LBN Legal business name Gold, Russell Stuart
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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