DR. Russell Clifford Gaede, PSY.D., LPC

NPI #1225197759 in Provo, Utah

Provider Information

NPI Number: 1225197759
Entity Type: Individual
Name: DR. Russell Clifford Gaede, PSY.D., LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: PSY.D., LPC
Enumeration Date: Dec 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1835 N 1120 W
City: Provo
State: Utah
ZIP Code: 84604-1180
Phone: (801) 623-4770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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