Provider Demographics
NPI:1679975759
Name:AKUNNE, CHIMEZIE (MS)
Entity Type:Individual
Prefix:
First Name:CHIMEZIE
Middle Name:
Last Name:AKUNNE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 SHIVE PL
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-1148
Mailing Address - Country:US
Mailing Address - Phone:732-803-4891
Mailing Address - Fax:
Practice Address - Street 1:70 SHIVE PL
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-1148
Practice Address - Country:US
Practice Address - Phone:732-803-4891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-21
Last Update Date:2014-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health