| Neurocog Llc | |
|
510 24th Ave Sw Norman OK 73069-5106 | |
| (405) 329-7923 | |
| (405) 329-8815 |
| Full Name | Neurocog Llc |
|---|---|
| Speciality | Counselor |
| Location | 510 24th Ave Sw, Norman, Oklahoma |
| Authorized Official Name and Position | Raymond H Mccaffrey (OWNER/LICENSED HEALTH SERVICE PSYCH) |
| Authorized Official Contact | 4053297923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocog Llc 510 24th Ave Sw Norman OK 73069-5106 Ph: (405) 329-7923 | Neurocog Llc 510 24th Ave Sw Norman OK 73069-5106 Ph: (405) 329-7923 |
| NPI Number | 1114458478 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114458478 | NPI | - | NPPES |
| 200709760A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | 3712 (Oklahoma) | Secondary |
| 103T00000X | Psychologist | 521 (Oklahoma) | Secondary |
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