IndividualActive
Edison Jeffus, PHD
NPI 1407905284 · Clinical Neuropsychologist · Tulsa, OK
Provider details
- NPI number
- 1407905284
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 636 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
3220 S Peoria Ave
Suite 2
Tulsa, OK 74105-2003
Phone: (918) 749-5506
Fax: (918) 749-5506
Approximate (ZIP-level) locationGet directions
Mailing address
509 W 33rd St
Sand Springs, OK 74063-2934
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2011-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.