Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Edison Dale Jeffus Jr., PHD

Individual provider Clinical Neuropsychologist · NPI 1407905284

Edison Dale Jeffus Jr., PHD is a Clinical Psychologist in Tulsa, Oklahoma. Qualified in 1990, 36 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
36
Licensed in
OK
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3220 S Peoria Ave Ste 2
Tulsa, OK 74105-2003
Phone: (918) 749-5506
Fax: (918) 749-5506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 636 (OK)
Clinical Psychologist Taxonomy 103TC0700X · Licence 636 (OK)

Record details

NPI number1407905284
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESDecember 28, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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