Gerald Lee Russell PHD

  • NPI 1326040148
According to our database, the NPI number for Gerald Lee Russell PHD is 1326040148 and activated since 18 years ago. Gerald Lee Russell PHD is an individual provider who specializes in Clinical Neuropsychologist, and the primary practice location is 713 6th St, Las Vegas, NM 87701. You can also contact Gerald Lee Russell PHD via telephone number is (505) 429-4679. Provider NPI information was last updated on 07/08/2007.

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Overview of Gerald Lee Russell PHD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/11/2005
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 103G00000X
  • Specialty: Clinical Neuropsychologist
  • License Number: 761
  • License State: NM

Provider Mailing Address

  • Address: Po Box 1705
    Las Vegas, NM 87701
  • Phone: 505-454-2202
  • Fax: 505-454-2211

Provider Practice Location

  • Address: 713 6th St
    Las Vegas, NM 87701
  • Phone: 505-429-4679
  • Fax: 505-425-3370

Scope of Practice

  • Taxonomy Code: 103G00000X
  • Specialty: Clinical Neuropsychologist
  • License Number: 761
  • License State: NM
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 76705
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NM
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gerald Lee Russell PHD?
  • A: The npi number for Gerald Lee Russell PHD is 1326040148.
  • Q: What are Gerald Lee Russell PHD's specialties?
  • A: Gerald Lee Russell PHD's specialties are Clinical Neuropsychologist and different specialities.
  • Q: What is the medical license for Gerald Lee Russell PHD?
  • A: The medical license number for Gerald Lee Russell PHD is 761 and issued in NM in USA.
  • Q: Where is Gerald Lee Russell PHD practice location?
  • A: Gerald Lee Russell PHD is practicing at 713 6th St, Las Vegas, NM 87701.
  • Q: How to contact Gerald Lee Russell PHD?
  • A: You can contact Gerald Lee Russell PHD via 505-429-4679.