Provider Demographics
NPI:1033819008
Name:ATOLOYE, KAYODE
Entity Type:Individual
Prefix:
First Name:KAYODE
Middle Name:
Last Name:ATOLOYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 E JOPPA RD STE 300
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-1806
Mailing Address - Country:US
Mailing Address - Phone:443-929-8315
Mailing Address - Fax:
Practice Address - Street 1:515 E JOPPA RD STE 300
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-1806
Practice Address - Country:US
Practice Address - Phone:443-929-8315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13463101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional