COMPREHENSIVE COMMUNITY REHAB SERVICES
Clinical Neuropsychologist
Tulsa, Oklahoma
Provider NPI: 1174636385
Organization Information:Organization Name: COMPREHENSIVE COMMUNITY REHAB SERVICES
Organization is not Subpart
Authorized Official: TERRY G SHAW CHIEF OPERATING OFFICER 918-4886165
Practice Location:
7146 S BRADEN AVE STE 500 TULSA, OK 74136 US
Tel: 918-488-6165 Fax: 918-488-8021
Business Mailing Address:
7146 S BRADEN AVE STE 500 TULSA, OK 74136 US
Tel: 918-488-6165 Fax: 918-488-8021
Entity Type: Organization
Taxonomy:
Organization is not Subpart
Authorized Official: TERRY G SHAW CHIEF OPERATING OFFICER 918-4886165
Practice Location:
7146 S BRADEN AVE STE 500 TULSA, OK 74136 US
Tel: 918-488-6165 Fax: 918-488-8021
Business Mailing Address:
7146 S BRADEN AVE STE 500 TULSA, OK 74136 US
Tel: 918-488-6165 Fax: 918-488-8021
Entity Type: Organization
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | ||
X | 103T00000X | Behavioral Health & Social Service Providers Psychologist | ||
X | 103TB0200X | Behavioral Health & Social Service Providers Psychologist | ||
X | 103TR0400X | Behavioral Health & Social Service Providers Psychologist | ||
X | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant | ||
X | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | ||
X | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | ||
X | 225C00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Rehabilitation Counselor | ||
X | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | ||
X | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | ||
X | 320700000X | Residential Treatment Facilities Residential Treatment Facility, Physical Disabilities | OK | RC7247-7247 |