Provider Demographics
NPI:1992216873
Name:OGWUDE, EMMANUEL C (PHD)
Entity Type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:C
Last Name:OGWUDE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-4615
Mailing Address - Country:US
Mailing Address - Phone:304-210-3790
Mailing Address - Fax:304-917-0022
Practice Address - Street 1:214 E 8TH ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-4615
Practice Address - Country:US
Practice Address - Phone:304-210-3790
Practice Address - Fax:304-917-0022
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst