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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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