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Organization
NEURO COG LLC
Active
Organization
NEURO COG LLC
Active
Other names
NeuroCog LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND H MCCAFFREY JR. PH.D. (OWNER/LICENSED HEALTH SERVICE PSYCH)
(405) 329-7923
Entity
Organization
Contact information
Practice address
510 24TH AVE SW, NORMAN, OK 73069-5106
(405) 329-7923
(405) 329-8815
Mailing address
510 24TH AVE SW, NORMAN, OK 73069-5106
(405) 329-7923
(405) 329-8815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
3712
OK
103T00000X
Psychologist
521
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200709760A
—
OK
Enumeration date
03/27/2017
Last updated
07/23/2024
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