Russell, Scot W.

Russell, Scot W. is an individual health care provider with primary practice located at 1200 El Camino Real , South San Francisco CA 94080. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Russell, Scot W. can be contacted via phone (650) 742-3841.

Contact Information

Primary practice address
1200 El Camino Real South San Francisco CA 94080
Phone: (650) 742-3841
Fax: (650) 742-2591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1140332501 Utah
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY 22480 California

Profile Details

NPI number 1407858988
LBN Legal business name Russell, Scot W.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated May 12th, 2009 - about 15 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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