Provider Demographics
NPI:1811421001
Name:AKWEI, MAAT (MA, LBS)
Entity Type:Individual
Prefix:MRS
First Name:MAAT
Middle Name:
Last Name:AKWEI
Suffix:
Gender:F
Credentials:MA, LBS
Other - Prefix:MRS
Other - First Name:MAAT
Other - Middle Name:
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LBS
Mailing Address - Street 1:45 E CITY AVE # 1675
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2421
Mailing Address - Country:US
Mailing Address - Phone:267-908-4922
Mailing Address - Fax:
Practice Address - Street 1:1989 N 63RD ST STE 300
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-2693
Practice Address - Country:US
Practice Address - Phone:215-704-2865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-14
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002935103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1032728760001Medicaid