Provider Demographics
NPI:1366642514
Name:DELOZIER CARTER, SHERRI RENA (MS, PLPC)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:RENA
Last Name:DELOZIER CARTER
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 N 20TH ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-9155
Mailing Address - Country:US
Mailing Address - Phone:417-581-8747
Mailing Address - Fax:417-581-1492
Practice Address - Street 1:1152 S 20TH ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-7363
Practice Address - Country:US
Practice Address - Phone:417-581-8747
Practice Address - Fax:417-581-1492
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO008102101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional