Doctor Name: | AKINJIDE FAMOYEGUN |
NPI Number: | 1629485883 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 21913 |
Business Practice Address: | 3701 Broadway Suite 105 Oakland, CA - 946115613 |
Business Phone Number: | 5107526561 |
Business Fax Number: | |
Mailing Address: | 701 Pine St Apt 47, SAN FRANCISCO |
State: | CA |
Postal Code: | 941083150 |
Phone Number: | 7089902168 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2014 |
NPI Last Update Date: | 07/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 21913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |