MEDICARE: DR. RUSSELL A DUNCKLEY PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	21515	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00D66R	OTHER	TX	BC/BS TX
2	75-2365650	OTHER	TX	PHCS

General Provider Information

NPI Number	:	1659380756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL A DUNCKLEY PH.D.

Provider Business Mailing Address
First Line	:	3500 OAK LAWN AVE
Second Line	:	SUITE 275
City	:	DALLAS
State	:	TX
Zip	:	75219-4308
Country	:	US
Telephone Number	:	214-522-0351
Fax Number	:	214-522-0593

Provider Business Practice Location Address
First Line	:	3500 OAK LAWN AVE
Second Line	:	SUITE 275
City	:	DALLAS
State	:	TX
Zip	:	75219-4308
Country	:	US
Telephone Number	:	214-522-0351
Fax Number	:	214-522-0593

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	06/08/2011

Similar Medicare Providers

1306795505 — DOCNOW LOCUMS
Practice Location Address:

3500 OAK LAWN AVE STE 460A
DALLAS, TX
75219-4308

Practice Phone: 954-857-6480
Practice Fax:

1952309395 — DR. CANDIDA JANE LUTES PHD
Practice Location Address:

3500 OAK LAWN AVE. , SUITE 275
DALLAS, TX
75219-4308

Practice Phone: 214-522-0498
Practice Fax: 214-522-0454

1821050865 — DR. TYLER ALLEN WOOTEN MD
Practice Location Address:

3500 OAK LAWN AVE , SUITE 620
DALLAS, TX
75219-4308

Practice Phone: 214-642-9717
Practice Fax: 214-599-0366

1285668780 — DR. JOHN LESLIE PROFFITT MD
Practice Location Address:

3500 OAK LAWN AVE , SUITE 650
DALLAS, TX
75219-4308

Practice Phone: 214-526-8100
Practice Fax:

1538185863 — DR. JASON TODD JONES D.C.
Practice Location Address:

3500 OAK LAWN AVE , SUITE 650
DALLAS, TX
75219-4308

Practice Phone: 214-219-3300
Practice Fax: 214-219-3310

1174628564 — STEPHEN M TANKERSLEY MD
Practice Location Address:

3500 OAK LAWN , SUITE 370
DALLAS, TX
75219-4308

Practice Phone: 214-528-9240
Practice Fax: 214-559-0803

Directions to “ DR. RUSSELL A DUNCKLEY PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.