Olushola Adewumi, PSYD is a
Psychologist - Clinical based in Fairburn, Georgia. Olushola Adewumi is licensed to practice in Maryland (license number 7266) and her current practice location is
5613 Oakley Industrial Blvd Apt 7308, Fairburn, Georgia. She can be reached at her office (for appointments etc.) via phone at
(646) 327-0118.
NPI number for Olushola Adewumi is 1144936824 and her current mailing address is 5613 Oakley Industrial Blvd Apt 7308, Fairburn, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144936824.
Healthcare Provider's Profile
Full Name | Olushola Adewumi |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 5613 Oakley Industrial Blvd Apt 7308, Fairburn, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144936824
- Provider Enumeration Date: 01/26/2023
- Last Update Date: 12/17/2024
Medical Identifiers
Medical identifiers for Olushola Adewumi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144936824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 810008745 (Virginia) | Secondary |
103TC0700X | Psychologist - Clinical | 7266 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Olushola Adewumi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Olushola Adewumi, PSYD 5613 Oakley Industrial Blvd Apt 7308, Fairburn, GA 30213-4553 Ph: (646) 327-0118 | Olushola Adewumi, PSYD 5613 Oakley Industrial Blvd Apt 7308, Fairburn, GA 30213-4553 Ph: (646) 327-0118 |
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