Provider Demographics
NPI:1285954495
Name:IBIYEMI-ALUKO, OLUWAJENROLA ADEOLA
Entity type:Individual
Prefix:MISS
First Name:OLUWAJENROLA
Middle Name:ADEOLA
Last Name:IBIYEMI-ALUKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22818 W ASHLEIGH MARIE DR
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-4080
Mailing Address - Country:US
Mailing Address - Phone:623-536-2672
Mailing Address - Fax:
Practice Address - Street 1:22818 W ASHLEIGH MARIE DR
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-4080
Practice Address - Country:US
Practice Address - Phone:623-451-7834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant