PHD Gerald Lee Russell, NPI 1326040148
Clinical Neuropsychologist in Las Vegas, NM, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1326040148
NPI Entity Type Individual
Provider Name PHD Gerald Lee Russell
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 713 6th St, Las Vegas, NM, US
Provider Mailing Address Po Box 1705, Las Vegas, NM, US, 877011705
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

103G00000X

Taxonomy Name Clinical Neuropsychologist
Classification

Clinical Neuropsychologist

Group

Behavioral Health & Social Service Providers

License No. 761
License State NM
Description A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Business Address

PHD Gerald Lee Russell
713 6th St

Las Vegas, NM, US

Phone: 505-429-4679
Fax: 505-425-3370

Mailing Address

PHD Gerald Lee Russell
Po Box 1705
Las Vegas, NM, US
ZIP 877011705
Phone: 505-454-2202
Fax: 505-454-2211

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