Warren K Russell Ph D P C in Oklahoma City - Psychologist
Warren K Russell Ph D P C - NPI 1417019522
Warren K Russell Ph D P C is a Psychologist in Oklahoma City, Oklahoma. Warren K Russell Ph D P C practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Warren K Russell Ph D P C is 1417019522. The last update date is 2008-03-05.
Warren K Russell Ph D P C's current location address is 717 Nw 56th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4054152302 and fax number 4054152301. The mailing address for Warren K Russell Ph D P C is 717 Nw 56th St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Warren K Russell Ph D P C |
|---|---|
| Address | 717 Nw 56th St, Oklahoma City, Oklahoma |
| Phone Number | 4054152302 |
| Fax Number | 4054152301 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Russell K Warren |
| Credentials | PH.D. |
| Telephone Number | 4054152302 |
NPI Number Detail
| NPI Number | 1417019522 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2008-03-05 |
Provider Mailing Address Detail
| Address | 717 Nw 56th St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731186030 |
| Phone Number | 4054152302 |
| Fax Number | 4054152301 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 753 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 442526116001 | OK | BCBS OF OKLAHOMA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Warren K Russell Ph D P C?
The Warren K Russell Ph D P C has been issued the NPI (National Provider Identifier) 1417019522 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Warren K Russell Ph D P C's facilities are situated?
The facilities of Warren K Russell Ph D P C are physically located at the following address: 717 Nw 56Th St, Oklahoma City, OK, 731186030.
What is the Warren K Russell Ph D P C's specialty and taxonomy code?
The Warren K Russell Ph D P C's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417019522 to Warren K Russell Ph D P C?
The Warren K Russell Ph D P C received its 1417019522 assignment from the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the information related to Warren K Russell Ph D P C most recently updated or refreshed?
The details pertaining to the Warren K Russell Ph D P C, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-05.