Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL DEAN PARK, PHD
ActiveRUSSELL DEAN PARK, PHD is a Clinical Psychologist healthcare provider located in JAMESTOWN, California. NPI 1326020710 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · JAMESTOWN, CA
Registration Details
- NPI Number
- 1326020710
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 19, 2005 (20.720450787626 yrs)
- Last Updated
- Apr 4, 2013
- License
-
PSY14275 (CA)
Practice Information
- Address
-
5100 O'BYRNES FERRY RD.JAMESTOWN, CA, 95327Browse CA providers · Browse ZIP 95327
- Phone
- 2099845291
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in JAMESTOWN, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL A BACKLUND | PHD | 1932268646 |
| MR. RICHARD PERRY HALLIBURTON | PSYD | 1831625102 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.