MEDICARE: OLAPEJU OLUWATOYIN OLADEJI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TH0100X	Health Service Psychologist

General Provider Information

NPI Number	:	1518846484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLAPEJU OLUWATOYIN OLADEJI

Provider Business Mailing Address
First Line	:	5847 AURORA LN
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-2652
Country	:	US
Telephone Number	:	817-666-2265
Fax Number	:

Provider Business Practice Location Address
First Line	:	5847 AURORA LN
Second Line	:
City	:	FULSHEAR
State	:	TX
Zip	:	77441-2652
Country	:	US
Telephone Number	:	817-666-2265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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