Provider Demographics
NPI:1124217393
Name:OLOJO, YETUNDE O (MED; FAODP)
Entity Type:Individual
Prefix:
First Name:YETUNDE
Middle Name:O
Last Name:OLOJO
Suffix:
Gender:F
Credentials:MED; FAODP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37740 HILLCREST DRIVE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:MI
Mailing Address - Zip Code:48184
Mailing Address - Country:US
Mailing Address - Phone:313-377-2443
Mailing Address - Fax:
Practice Address - Street 1:37740 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:MI
Practice Address - Zip Code:48184-1056
Practice Address - Country:US
Practice Address - Phone:313-377-2443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)