Healthcare Provider Details
I. General information
NPI: 1164697256
Provider Name (Legal Business Name): LOXI LYNN FITZER-JAMES M.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/29/2008
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 E GRAY ST STE C
NORMAN OK
73069-7257
US
IV. Provider business mailing address
101 E GRAY ST STE C
NORMAN OK
73069-7257
US
V. Phone/Fax
- Phone: 405-360-2133
- Fax: 405-360-2252
- Phone: 405-360-2133
- Fax: 405-360-2252
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: