Provider Demographics
NPI:1508684754
Name:AGYEIWAA, SYLVIA OWUSU
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:OWUSU
Last Name:AGYEIWAA
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 1:4 BRIANNA DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01570-3502
Mailing Address - Country:US
Mailing Address - Phone:774-275-8130
Mailing Address - Fax:
Practice Address - Street 1:4 BRIANNA DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:MA
Practice Address - Zip Code:01570-3502
Practice Address - Country:US
Practice Address - Phone:774-275-8130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool