GERALD RUSSELL, PHD

Clinical Neuropsychologist

Active Individual
NPI: 1326040148

Practice Address

713 6TH ST
Las Vegas, NM 87701

Phone: (505) 429-4679

Specialties

Specialty Code Primary License
Clinical Neuropsychologist 103G00000X Yes 761 (NM)

Frequently Asked Questions

NPI 1326040148 is the National Provider Identifier for GERALD RUSSELL, PHD, a Clinical Neuropsychologist provider located in Las Vegas, NM. This NPI was enumerated on August 11, 2005.
GERALD RUSSELL, PHD practices at 713 6TH ST, Las Vegas, NM 87701.

Quick Facts

NPI
1326040148
Type
Individual
Enumerated
Aug 11, 2005
Last Updated
Jul 8, 2007

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