Provider Demographics
NPI:1538478896
Name:ADOMAKO, EWURA-ABENA NYAMEKYE (MS CCC-SLP TSSLD)
Entity Type:Individual
Prefix:
First Name:EWURA-ABENA
Middle Name:NYAMEKYE
Last Name:ADOMAKO
Suffix:
Gender:F
Credentials:MS CCC-SLP TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 3RD AVE
Mailing Address - Street 2:RIVENDELL SCHOOL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-1003
Mailing Address - Country:US
Mailing Address - Phone:347-596-0690
Mailing Address - Fax:718-499-7269
Practice Address - Street 1:277 3RD AVE
Practice Address - Street 2:RIVENDELL SCHOOL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-1003
Practice Address - Country:US
Practice Address - Phone:347-596-0690
Practice Address - Fax:718-499-7269
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017156-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist