Edison Dale Jeffus JR., PHD

NPI #1407905284 in Tulsa, Oklahoma

Provider Information

NPI Number
1407905284
Entity Type
Individual
Name
Edison Dale Jeffus JR., PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinical Neuropsychologist
Credential
PHD
Enumeration Date
Jan 9, 2007
Last Updated
Dec 28, 2011

Practice Location

Address
3220 S PEORIA AVE
Address 2
SUITE 2
City
Tulsa
ZIP Code
74105-2003
Phone
(918) 749-5506

Specialties & Taxonomy Codes

Specialty
Clinical Neuropsychologist
Psychologist - ClinicalClinical

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