Provider Demographics
NPI:1629518485
Name:ADEPOJU, OLUWATOMISIN
Entity Type:Individual
Prefix:
First Name:OLUWATOMISIN
Middle Name:
Last Name:ADEPOJU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 GREENSPRING VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5411
Mailing Address - Country:US
Mailing Address - Phone:240-470-0934
Mailing Address - Fax:
Practice Address - Street 1:1840 YORK RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-5121
Practice Address - Country:US
Practice Address - Phone:443-639-9013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLBA1762103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst