OrganizationActive
Lifechange Psychological Services, LLC
NPI 1295250207 · Clinical Neuropsychologist · Oklahoma City, OK
Provider details
- NPI number
- 1295250207
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Chuck Edgington, Owner(405) 315-5756
- License
- 1088 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4117 Nw 122nd St Ste A1
Oklahoma City, OK 73120-8819
Phone: (405) 562-9260
Fax: (405) 260-9559
Approximate (ZIP-level) locationGet directions
Mailing address
3612 Lea Ct
Edmond, OK 73013-8127
Registry dates
- Enumerated
- 2017-08-10
- Last updated
- 2021-01-23
- Certified
- 2021-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.