Individual
DR. RUSSELL STUART GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4060 4TH AVE, SUITE 615, SAN DIEGO, CA 92103-2116
(619) 574-1694
(619) 574-1649
Mailing address
4060 4TH AVE, SUITE 615, SAN DIEGO, CA 92103-2116
(619) 574-1694
(619) 574-1649
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY6175
CA
103TF0000X
Family Psychologist
PSY6175
CA
103TF0200X
Forensic Psychologist
Primary
PSY6175
CA
Other
Enumeration date
05/21/2007
Last updated
09/11/2025
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