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NPI Code Detail

MEDICARE: DR. O & OKUNDAYE, LLC

MEDICARE: DR. O & OKUNDAYE, LLC
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1801468053
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. O & OKUNDAYE, LLC
Provider Business Mailing Address
First Line : 9520 MARLBORO PIKE STE 201
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-3666
Country : US
Telephone Number : 301-802-1140
Fax Number : 301-574-0858
Provider Business Practice Location Address
First Line : 9520 MARLBORO PIKE STE 201
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-3666
Country : US
Telephone Number : 301-802-1140
Fax Number : 301-574-0858
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : DR. JOSHUA OKUNDAYE
Credential : PH.D, LCSW-C, LICSW
Telephone Number : 301-802-1140
Provider Enumeration Date : 07/15/2021
Last Update Date : 07/15/2021

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Directions to “DR. O & OKUNDAYE, LLC ” Practice Location

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