Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald Lee Russell, PHD

Individual provider Clinical Neuropsychologist · NPI 1326040148

Gerald Lee Russell, PHD is a Clinical Neuropsychologist in Las Vegas, New Mexico. Licensed in New Mexico. Registered with an NPI since 2005.

Licensed in
NM
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

713 6th St
Las Vegas, NM 87701-4359
Phone: (505) 429-4679
Fax: (505) 425-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 761 (NM)

Record details

NPI number1326040148
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 1705, Las Vegas, NM 87701-1705

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