Organization
DAVID J SHORT PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES SHORT PSY.D. (PSYCHOLOGIST)
(405) 657-4468
Entity
Organization
Contact information
Practice address
849 E 33RD ST, EDMOND, OK 73013-5407
(405) 888-5289
(405) 888-5322
Mailing address
1814 OLDE SCHOOL RD, EDMOND, OK 73012-3255
(405) 657-4468
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1278
OK
Other
Enumeration date
04/14/2017
Last updated
06/09/2017
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