Provider Demographics
NPI:1588435366
Name:AFOAKWAH, ADWOA KONADU (PSYD)
Entity type:Individual
Prefix:
First Name:ADWOA
Middle Name:KONADU
Last Name:AFOAKWAH
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 MERCANTILE DR W
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-1821
Mailing Address - Country:US
Mailing Address - Phone:646-592-1289
Mailing Address - Fax:
Practice Address - Street 1:5805 MERCANTILE DR W
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-1821
Practice Address - Country:US
Practice Address - Phone:646-592-1289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSYA200001297103TC0700X
MD07248103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical