Provider Demographics
NPI:1336674795
Name:AKINDELE, AKINWALE OLUSOLA
Entity Type:Individual
Prefix:MR
First Name:AKINWALE
Middle Name:OLUSOLA
Last Name:AKINDELE
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 1:9737 MOUNT PISGAH RD
Mailing Address - Street 2:APT 812
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2020
Mailing Address - Country:US
Mailing Address - Phone:240-899-7182
Mailing Address - Fax:
Practice Address - Street 1:4451 PARLIAMENT PL
Practice Address - Street 2:SUITE A
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1843
Practice Address - Country:US
Practice Address - Phone:301-577-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst