Gerald Lee Russell, PHD
NPI #1326040148 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1326040148
- Entity Type
- Individual
- Name
- Gerald Lee Russell, PHD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Clinical Neuropsychologist
- Credential
- PHD
- Enumeration Date
- Aug 11, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 713 6TH ST
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-4359
- Phone
- (505) 429-4679
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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