Provider Demographics
NPI:1326128604
Name:DELOZIER, JAMES LARRY (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LARRY
Last Name:DELOZIER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 AUBURN CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-7329
Mailing Address - Country:US
Mailing Address - Phone:405-579-8898
Mailing Address - Fax:
Practice Address - Street 1:1005 N FLOOD AVE
Practice Address - Street 2:SUITE 144
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-7656
Practice Address - Country:US
Practice Address - Phone:405-579-8898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK346101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health