OrganizationActive
Clinical & Neuropsychological Services
NPI 1699192856 · Clinical Neuropsychologist · Tulsa, OK
Provider details
- NPI number
- 1699192856
- Entity type
- Organization
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- David Hansen, Owner(918) 712-9004
- License
- 849 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5512 S Lewis Ave
Suite 8
Tulsa, OK 74105-7140
Phone: (918) 712-9004
Approximate (ZIP-level) locationGet directions
Mailing address
5512 S Lewis Ave
Tulsa, OK 74105-7140
Registry dates
- Enumerated
- 2014-03-26
- Last updated
- 2014-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.