Individual
DR. RUSSELL D PELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7146 S BRADEN AVE STE 500, TULSA, OK 74136-6376
(918) 986-7036
(833) 317-4151
Mailing address
5383 S IRVINGTON AVE, TULSA, OK 74135-7524
(918) 986-7036
(833) 317-4151
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1248
OK
103G00000X
Clinical Neuropsychologist
Primary
34782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284979601
—
TX
Enumeration date
04/29/2011
Last updated
12/05/2025
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