Provider Demographics
NPI:1184964264
Name:AKUGUE, JONATHAN N (MA PSYCHOLOGY)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:N
Last Name:AKUGUE
Suffix:
Gender:M
Credentials:MA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 FLOYD AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01904-2215
Mailing Address - Country:US
Mailing Address - Phone:617-955-1116
Mailing Address - Fax:
Practice Address - Street 1:27 FLOYD AVE
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01904-2215
Practice Address - Country:US
Practice Address - Phone:617-955-1116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health