| David J Short Phd | |
|
849 E 33rd St Edmond OK 73013-5407 | |
| (405) 888-5289 | |
| (405) 888-5322 |
| Full Name | David J Short Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 849 E 33rd St, Edmond, Oklahoma |
| Authorized Official Name and Position | David James Short (PSYCHOLOGIST) |
| Authorized Official Contact | 4056574468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J Short Phd 1814 Olde School Rd Edmond OK 73012-3255 Ph: (405) 657-4468 | David J Short Phd 849 E 33rd St Edmond OK 73013-5407 Ph: (405) 888-5289 |
| NPI Number | 1912431156 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 06/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912431156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1278 (Oklahoma) | Primary |
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