ABIOLA DIPEOLU


Address: 409 Baldy, Buffalo, NY 14260-1000
Phone: 7168366045

ABIOLA DIPEOLU (NPI# 1861434169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861434169
Entity Type Individual
Full Name ABIOLA DIPEOLU
Credential PHD
Practice Address 409 Baldy
Buffalo
NY 14260-1000
Practice Telephone 7168366045
Mailing Telephone 7168366045
Enumeration Date 2006-06-12
Last Update Date 2011-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
1061 KS Behavioral Health & Social Service Providers

Office Location

Street Address 409 BALDY
City BUFFALO
State NY
Zip Code 14260-1000

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City BUFFALO
Zip Code 14260

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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