DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GERALD LEE RUSSELL, PHD

Active

GERALD LEE RUSSELL, PHD is a Clinical Neuropsychologist healthcare provider located in LAS VEGAS, New Mexico. NPI 1326040148 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · LAS VEGAS, NM

Registration Details

NPI Number
1326040148
Provider Type
Individual
Gender
Male
NPI Issued
Aug 11, 2005 (21.040307138437 yrs)
Last Updated
Jul 8, 2007
License
761 (NM)

Practice Information

Address
713 6TH ST
LAS VEGAS, NM, 877014359
Browse NM providers · Browse ZIP 87701
Phone
5054294679
Fax
5054253370
Primary Specialty
Clinical Neuropsychologist
103G00000X

Other Clinical Neuropsychologist Providers in LAS VEGAS, NM

Name Credential NPI
DR. JEANNE ENID KNIGHT PH.D. 1851613384
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.