| Clinical & Neuropsychological Services | |
|
5512 S Lewis Ave Suite 8 Tulsa OK 74105-7140 | |
| (918) 712-9004 | |
| Not Available |
| Full Name | Clinical & Neuropsychological Services |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5512 S Lewis Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | David Edward Hansen (OWNER) |
| Authorized Official Contact | 9187129004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical & Neuropsychological Services 5512 S Lewis Ave Suite 8 Tulsa OK 74105-7140 Ph: (918) 712-9004 | Clinical & Neuropsychological Services 5512 S Lewis Ave Suite 8 Tulsa OK 74105-7140 Ph: (918) 712-9004 |
| NPI Number | 1699192856 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 03/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699192856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 849 (Oklahoma) | Primary |
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