Provider Demographics
NPI:1477330512
Name:OLADELE, ADEWUMI FUNMI (MBCHB, MED, DRPH)
Entity Type:Individual
Prefix:DR
First Name:ADEWUMI
Middle Name:FUNMI
Last Name:OLADELE
Suffix:
Gender:F
Credentials:MBCHB, MED, DRPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MERRIMACK STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852
Mailing Address - Country:US
Mailing Address - Phone:978-455-0770
Mailing Address - Fax:
Practice Address - Street 1:100 MERRIMACK STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852
Practice Address - Country:US
Practice Address - Phone:978-455-0770
Practice Address - Fax:978-455-0770
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health