NPI 1326040148

Gerald Lee Russell, PHD

Practitioner Clinical Neuropsychologist Las Vegas, NM

Practice location

Address: 713 6th St, Las Vegas, NM 87701-4359
Phone: (505) 429-4679
Fax: (505) 425-3370
Mailing address: PO Box 1705, Las Vegas, NM 87701-1705

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 761 (NM)

Other Clinical Neuropsychologist providers in New Mexico →

Registry record

NPI: 1326040148
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.