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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDISON DALE JEFFUS JR., PHD

Active Sole Proprietor

EDISON DALE JEFFUS JR., PHD is a Clinical Neuropsychologist healthcare provider located in TULSA, Oklahoma. NPI 1407905284 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · TULSA, OK

Registration Details

NPI Number
1407905284
Provider Type
Individual
Gender
Male
NPI Issued
Jan 9, 2007 (19.568490399936 yrs)
Last Updated
Dec 28, 2011
Licenses
636 (OK)
636 (OK)
Sole Proprietor
Yes

Practice Information

Address
3220 S PEORIA AVE
SUITE 2
TULSA, OK, 741052003
Browse OK providers · Browse ZIP 74105
Phone
9187495506
Fax
9187495506
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Psychologist

Other Clinical Neuropsychologist Providers in TULSA, OK

Name Credential NPI
DR. ROSCOE GORDON BURROWS II PH.D. 1457391260
DR. DAVID EDWARD HANSEN PH.D. 1730101817
MR. JOSEPH P FRITSCH PHD 1427062082
TERRY GLEN SHAW PHD 1063423994
DR. RUSSELL D PELLA PH.D. 1700177391
DR. BRIAN A. BOATWRIGHT PSY.D. 1366722712
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.