Individual provider · Type 1 NPI

Russell Charles Serda, PSYD

Student in an Organized Health Care Education/Training Program · Corcoran, CA

NPI number 1528797958 Active

Practice location

4001 King Ave
Corcoran, CA 93212-9611

Call (559) 992-7100 Map

Mailing address

39711 Clover Ln
Squaw Valley, CA 93675-8703

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1528797958

Russell Charles Serda, PSYD's National Provider Identifier is 1528797958, issued on Jun 9, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Corcoran, CA. The record was last updated on Jun 10, 2022.