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COMPREHENSIVE COMMUNITY REHAB SERVICES NPI 1174636385


NPI Information

NPI: 1174636385
Provider Name: COMPREHENSIVE COMMUNITY REHAB SERVICES
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
7146 S BRADEN AVE STE 500
TULSA, OK
ZIP 74136
Phone: (918) 488-6165
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COMPREHENSIVE COMMUNITY REHAB SERVICES is a clinical neuropsychologist in Tulsa, OK. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. COMPREHENSIVE COMMUNITY REHAB SERVICES NPI is 1174636385. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7146 S BRADEN AVE STE 500
TULSA, OK
ZIP 74136-376
Phone: (918) 488-6165
Fax: (918) 488-8021

The provider's authorized official is Terry G Shaw .
The authorized official title is Chief Operating Officer and has the following contact phone number (918) 488-6165.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistYes
2103T00000XPsychologistX
3103TB0200XPsychologistCognitive & BehavioralX
4103TR0400XPsychologistRehabilitationX
5224Z00000XOccupational Therapy AssistantX
6225100000XPhysical TherapistX
7225200000XPhysical Therapy AssistantX
8225C00000XRehabilitation CounselorX
9225X00000XOccupational TherapistX
10235Z00000XSpeech-Language PathologistX
11320700000XResidential Treatment Facility, Physical DisabilitiesRC7247-7247OKLAHOMAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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