Healthcare Provider Details

I. General information

NPI: 1326540717
Provider Name (Legal Business Name): IFRAH AKRAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2018
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 COMMERCIAL ST
BROCKTON MA
02302-3133
US

IV. Provider business mailing address

103 COMMERCIAL ST
BROCKTON MA
02302-3133
US

V. Phone/Fax

Practice location:
  • Phone: 978-248-8573
  • Fax:
Mailing address:
  • Phone: 978-248-8573
  • Fax: 978-248-8573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: