Organization
THE OSHODI FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EGBEAZIEN OSHODI PHD (PRESIDENT)
(305) 636-2627
Entity
Organization
Contact information
Practice address
1065 NE 125TH ST STE 317A, NORTH MIAMI, FL 33161-5833
(305) 636-2627
Mailing address
1065 NE 125TH ST STE 317A, NORTH MIAMI, FL 33161-5833
(305) 636-3262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
05/14/2024
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