DR. RUSSELL GAEDE, PSY.D., LPC

Counselor

Active Individual
NPI: 1225197759

Practice Address

1835 N 1120 W
Provo, UT 84604

Phone: (801) 623-4770

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes 268792-6004 (UT)

Frequently Asked Questions

NPI 1225197759 is the National Provider Identifier for DR. RUSSELL GAEDE, PSY.D., LPC, a Counselor provider located in Provo, UT. This NPI was enumerated on December 8, 2006.
DR. RUSSELL GAEDE, PSY.D., LPC practices at 1835 N 1120 W, Provo, UT 84604.

Quick Facts

NPI
1225197759
Type
Individual
Enumerated
Dec 8, 2006
Last Updated
Jul 8, 2007

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