Individual
LAYTOYIA LAVELLE LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRSS, BHCM
Contact information
Practice address
1211 N SHARTEL AVE, 407, OKLAHOMA CITY, OK 73103-2400
(405) 635-9368
Mailing address
4028 S DOUGLAS AVE, 237, OKLAHOMA CITY, OK 73109-3242
(405) 638-9365
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
108277
OK
Other
Enumeration date
12/30/2011
Last updated
08/01/2013
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