Provider Demographics
NPI:1083897425
Name:ORAKER, JAMES R (PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:ORAKER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E SAN RAFAEL ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2405
Mailing Address - Country:US
Mailing Address - Phone:719-520-9048
Mailing Address - Fax:719-389-0359
Practice Address - Street 1:315 E SAN RAFAEL ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2405
Practice Address - Country:US
Practice Address - Phone:719-520-9048
Practice Address - Fax:719-389-0359
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO372103TC0700X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily