Provider Demographics
NPI:1457626038
Name:OJEVWE, PIUS O (PSYD)
Entity Type:Individual
Prefix:
First Name:PIUS
Middle Name:O
Last Name:OJEVWE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1762 SEA PINE CIR
Mailing Address - Street 2:
Mailing Address - City:SEVERN
Mailing Address - State:MD
Mailing Address - Zip Code:21144-1815
Mailing Address - Country:US
Mailing Address - Phone:410-551-2455
Mailing Address - Fax:866-422-6096
Practice Address - Street 1:11140 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 400
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3106
Practice Address - Country:US
Practice Address - Phone:410-551-2455
Practice Address - Fax:866-422-6096
Is Sole Proprietor?:No
Enumeration Date:2012-03-15
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4277103T00000X
DCPSY1000398103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist