NPI 1063423994

Terry Glen Shaw, PHD

Practitioner Clinical Neuropsychologist Tulsa, OK

Practice location

Address: 7146 S Braden Suite 500, Tulsa, OK 74136
Phone: (918) 488-6165
Fax: (918) 488-8021
Mailing address: PO Box 3010, McAlester, OK 74502-3010

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 373 (OK)

Other Clinical Neuropsychologist providers in Oklahoma →

Registry record

NPI: 1063423994
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2006
Record last updated: 28 Jun 2026

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.