Individual
WARREN K RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
717 NW 56TH ST, OKLAHOMA CITY, OK 73118-6030
(405) 415-2302
(405) 415-2301
Mailing address
717 NW 56TH ST, OKLAHOMA CITY, OK 73118-6030
(405) 415-2302
(405) 415-2301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
753
OK
Other
Enumeration date
06/14/2006
Last updated
03/05/2008
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