IndividualActive
Terry Shaw, PHD
NPI 1063423994 · Clinical Neuropsychologist · Tulsa, OK
Provider details
- NPI number
- 1063423994
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 373 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7146 S Braden
Suite 500
Tulsa, OK 74136
Phone: (918) 488-6165
Fax: (918) 488-8021
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3010
Mcalester, OK 74502-3010
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2013-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.