Warren K Russell, Ph.D.
Psychologist in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1790728871
StatusActive
Last updated in NPPESMar 5, 2008
Details
- NPI
- 1790728871
- Entity type
- Individual (NPI-1)
- Name
- Warren K Russell
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2006
- Last updated
- Mar 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 753 | OK | Yes |
Practice location
717 Nw 56th StOklahoma City, OK 73118-6030
Phone 405-415-2302 · Fax 405-415-2301
Mailing address
717 Nw 56th StOklahoma City, OK 73118-6030
Phone 405-415-2302 · Fax 405-415-2301
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