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Individual

AKAOSA ONUMA ELEANYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4413 WEDGEWOOD DR, RALEIGH, NC 27604-5098
(919) 649-5138
Mailing address
4413 WEDGEWOOD DR, RALEIGH, NC 27604-5098
(919) 649-5138

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5718
NC
103TC0700X
Clinical Psychologist
5718
OK
103TC2200X
Clinical Child & Adolescent Psychologist
5718
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
5718
NC

Other

Enumeration date
08/24/2020
Last updated
08/24/2020
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