NPI 1699192856

Clinical & Neuropsychological Services

Organisation Clinical Neuropsychologist Tulsa, OK

Practice location

Address: 5512 S Lewis Ave Suite 8, Tulsa, OK 74105-7140
Phone: (918) 712-9004

Authorised official

Name: David Edward Hansen
Title: Owner
Phone: (918) 712-9004

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 849 (OK)

Other Clinical Neuropsychologist providers in Oklahoma →

Registry record

NPI: 1699192856
Entity type: Organization
NPI issued: 26 Mar 2014
Record last updated: 26 Mar 2014

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.