Adebusola Ajobo
Individual provider Active NPI Rehabilitation Psychologist · Oklahoma City, OK
NPI 1891199808 · NPPES record last updated Oct 20, 2014
Key facts
- NPI
- 1891199808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Psychologist 103TR0400X
- Practice address
- 1609 Greenbriar PL
Oklahoma City, OK 73159-7640 - Phone
- (405) 735-3683
- Fax
- (405) 735-3524
- NPI assigned
- Oct 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | Yes |
Addresses
Primary practice location
1609 Greenbriar PL
Oklahoma City, OK 73159-7640
Mailing address
12200 Heritage Park Rd
Apt 216
Oklahoma City, OK 73120-7595
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All providers in Oklahoma City, OK · Rehabilitation Psychologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.