Provider Demographics
NPI:1336655265
Name:OLYMPIO, ADJOKE AKOUVI
Entity Type:Individual
Prefix:MS
First Name:ADJOKE
Middle Name:AKOUVI
Last Name:OLYMPIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13804 CROSSTIE DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-6137
Mailing Address - Country:US
Mailing Address - Phone:240-408-6761
Mailing Address - Fax:
Practice Address - Street 1:13804 CROSSTIE DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-6137
Practice Address - Country:US
Practice Address - Phone:240-408-6761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician