Healthcare Provider Details
I. General information
NPI: 1598062473
Provider Name (Legal Business Name): DR. JAMES E. NORWOOD SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/11/2011
Last Update Date: 02/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7010 S YALE AVE SUITE 215
TULSA OK
74136-5713
US
IV. Provider business mailing address
1424 N 24TH WEST PL
TULSA OK
74127-3011
US
V. Phone/Fax
- Phone: 918-492-2554
- Fax: 918-494-9870
- Phone: 918-398-9125
- Fax: 918-494-9870
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | UNDERSUPERVISION |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: