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Gerald Lee Russell, PHD
Clinical Neuropsychologist in Las Vegas, New Mexico
NPI 1326040148

Gerald Lee Russell is a Clinical Neuropsychologist based in Las Vegas, NM. Gerald Lee Russell practices in Las Vegas, NM and has the professional credentials of PHD. The NPI Number for Gerald Lee Russell is 1326040148 and holds a License No. 761 (New Mexico).

The current practice location address for Gerald Lee Russell is 713 6Th St, Las Vegas, NM and can be reached out via phone at 505-429-4679 and via fax at 505-425-3370.

Location: 713 6Th St, Las Vegas, NM, 87701-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326040148
Provider Name
Gerald Lee Russell
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
713 6Th St, Las Vegas, NM, 87701-1705
Phone Number
505-429-4679
Fax Number
505-425-3370
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
76705 05 NM
institution
Provider Business Practice Location Address Details
Address
713 6Th St
City
Las Vegas
State
New Mexico
Zip
87701-4359
Phone Number
505-429-4679
Fax Number
505-425-3370
person
Provider Business Mailing Address Details
Address
713 6Th St
City
Las Vegas
State
New Mexico
Zip
87701-4359
Phone Number
505-429-4679
Fax Number
505-425-3370
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
761 (New Mexico)
Definition
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.
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