Provider Demographics
NPI:1497408231
Name:NWOSU, JOSHUA CHIMAUCHEYA (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CHIMAUCHEYA
Last Name:NWOSU
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 LANDMARK DR STE 128
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4983
Mailing Address - Country:US
Mailing Address - Phone:410-590-4140
Mailing Address - Fax:
Practice Address - Street 1:808 LANDMARK DR STE 128
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4983
Practice Address - Country:US
Practice Address - Phone:410-590-4140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist