Dr. Russell Gaede's National Provider Identifier (NPI) Details
Dr. Russell Gaede, Psy.D., LPC
NPI: 1225197759
Enumeration Date: 2006-12-08
Last updated: 2007-07-08
Sole Proprietor: NO
Status: active
Postal Address: PO BOX 1001, SPANISH FORK, UT
Phone: 801-623-4770
Primary Practice Address: 1835 N 1120 W, PROVO, UT
Practice's phone: 801-623-4770