Provider Demographics
NPI:1306172333
Name:FAZ, DELILAH (MSW)
Entity type:Individual
Prefix:MRS
First Name:DELILAH
Middle Name:
Last Name:FAZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 S PICKARD AVE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4529
Mailing Address - Country:US
Mailing Address - Phone:405-414-8234
Mailing Address - Fax:
Practice Address - Street 1:1006 S PICKARD AVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4529
Practice Address - Country:US
Practice Address - Phone:405-414-8234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)