Dr Carol Russ, PHD in Pacific Beach, CA - Psychologist

Dr Carol Russ, PHD is a Psychologist - Clinical based in Pacific Beach, California. Dr Carol Russ is licensed to practice in California (license number PSY6070) and her current practice location is 1767 Grand Ave, Suite 4, Pacific Beach, California. She can be reached at her office (for appointments etc.) via phone at (858) 755-8206.

NPI number for Dr Carol Russ is 1770577991 and her current mailing address is 1767 Grand Ave, Suite 4, Pacific Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770577991.

Contact Information

	Dr Carol Russ, PHD
	1767 Grand Ave, Suite 4, Pacific Beach, CA 92109-4400
	(858) 755-8206
	Not Available

Healthcare Provider's Profile

Full Name	Dr Carol Russ
Gender	Female
Speciality	Psychologist - Clinical
Location	1767 Grand Ave, Pacific Beach, California
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1770577991
Provider Enumeration Date: 09/02/2005
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Carol Russ such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770577991	NPI	-	NPPES
PSY6070	Other	CA	CLINICAL PSYCHOLOGIST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY6070 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carol Russ is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Carol Russ, PHD 1767 Grand Ave, Suite 4, Pacific Beach, CA 92109-4400 Ph: (858) 755-8206	Dr Carol Russ, PHD 1767 Grand Ave, Suite 4, Pacific Beach, CA 92109-4400 Ph: (858) 755-8206

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Dr Carol Russ, PHD - Psychologist in Pacific Beach, CA