Provider Demographics
NPI:1326380080
Name:AKIN-LITTLE AND LITTLE BEHAVIORAL PSYCHOLOGY CONSULTANTS
Entity type:Organization
Organization Name:AKIN-LITTLE AND LITTLE BEHAVIORAL PSYCHOLOGY CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANGELEQUE
Authorized Official - Last Name:AKIN-LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:518-481-3644
Mailing Address - Street 1:791 COUNTY ROUTE 41
Mailing Address - Street 2:
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-3316
Mailing Address - Country:US
Mailing Address - Phone:518-481-4633
Mailing Address - Fax:
Practice Address - Street 1:791 COUNTY ROUTE 41
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-3316
Practice Address - Country:US
Practice Address - Phone:518-481-4633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015495103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty