Individual provider · Type 1 NPI
Russell Tennyson Toll, PhD
EEG Specialist/Technologist · Southlake, TX
NPI number
1356053565
Active
Practice location
1330 N White Chapel Blvd Ste 130
Southlake, TX 76092-4323
Fax (817) 753-7039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| EEG Specialist/Technologist Primary | 246ZE0500X | None listed |
| Speech/Language/Hearing Specialist/Technologist | 235500000X | None listed |
EEG Specialist/Technologist: Definition to come...
Another provider at this address
About NPI 1356053565
Russell Tennyson Toll, PhD's National Provider Identifier is 1356053565, issued on Dec 19, 2022. The primary taxonomy on file is EEG Specialist/Technologist (246ZE0500X), and the practice location is in Southlake, TX. The record was last updated on Nov 2, 2026.