Provider Demographics
NPI:1598499469
Name:AKINADEWO, IYABO A (MA , TRAINEE PHD MFT)
Entity Type:Individual
Prefix:MRS
First Name:IYABO
Middle Name:A
Last Name:AKINADEWO
Suffix:
Gender:F
Credentials:MA , TRAINEE PHD MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 CAMBRIDGEPARK DR UNIT 145
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2454
Mailing Address - Country:US
Mailing Address - Phone:347-546-6879
Mailing Address - Fax:
Practice Address - Street 1:100 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2509
Practice Address - Country:US
Practice Address - Phone:857-299-1123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist