NPI 1295250207

Lifechange Psychological Services, LLC

Organisation Clinical Neuropsychologist Oklahoma City, OK

Practice location

Address: 4117 NW 122nd St STE A1, Oklahoma City, OK 73120-8819
Phone: (405) 562-9260
Fax: (405) 260-9559
Mailing address: 3612 Lea CT, Edmond, OK 73013-8127

Authorised official

Name: Chuck Edgington
Title: Owner
Phone: (405) 315-5756

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1088 (OK)

Other Clinical Neuropsychologist providers in Oklahoma →

Registry record

NPI: 1295250207
Entity type: Organization
NPI issued: 10 Aug 2017
Record last updated: 23 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.