NPI 1407905284

Edison Dale Jeffus, PHD

Practitioner Clinical Neuropsychologist Tulsa, OK

Practice location

Address: 3220 S Peoria Ave Suite 2, Tulsa, OK 74105-2003
Phone: (918) 749-5506
Fax: (918) 749-5506
Mailing address: 509 W 33rd St, Sand Springs, OK 74063-2934

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 636 (OK)

Other Clinical Neuropsychologist providers in Oklahoma →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 636 (OK)

Other Psychologist providers in Oklahoma →

Registry record

NPI: 1407905284
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2007
Record last updated: 28 Dec 2011

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.