Provider Demographics
NPI:1659423457
Name:IKWEZUNMA, ALOYSIUS IJEZIE
Entity Type:Individual
Prefix:MR
First Name:ALOYSIUS
Middle Name:IJEZIE
Last Name:IKWEZUNMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8110 MISTY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2910
Mailing Address - Country:US
Mailing Address - Phone:832-283-0390
Mailing Address - Fax:713-782-6100
Practice Address - Street 1:8110 MISTY RIDGE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2910
Practice Address - Country:US
Practice Address - Phone:832-283-0390
Practice Address - Fax:713-782-6100
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health