Doctor Name: | MR. BENARD U AKAGHA |
NPI Number: | 1144438607 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYCHOLOGIST |
License Number: | |
Business Practice Address: | 900 Quebec Ave Corcoran, CA - 932129715 |
Business Phone Number: | 5599927000 |
Business Fax Number: | |
Mailing Address: | 575 Haliburton Way, COALINGA |
State: | CA |
Postal Code: | 932102587 |
Phone Number: | 7602201559 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 02/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |