Search › California › 103T00000X
Peter Russell, PH.D
NPI 1770740631 · on the registry since 2008 · sole proprietor
Practice
- Address
- 9500 Gilman Dr # Mc0304
Ucsd Counseling & Psychological Srvs
La Jolla, CA 92093 - Phone
- (858) 534-3755
- Fax
- (858) 534-2628
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California