Provider Demographics
NPI:1235880899
Name:OPAIGBEOGU, UZOMA (BA, MS, MDIV, DMIN)
Entity Type:Individual
Prefix:DR
First Name:UZOMA
Middle Name:
Last Name:OPAIGBEOGU
Suffix:
Gender:M
Credentials:BA, MS, MDIV, DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8929 FOOTED RDG
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-4216
Mailing Address - Country:US
Mailing Address - Phone:301-526-5927
Mailing Address - Fax:
Practice Address - Street 1:8929 FOOTED RDG
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-4216
Practice Address - Country:US
Practice Address - Phone:301-526-5927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC11892101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health