Provider Demographics
NPI:1992913826
Name:AKHU, ADWOA (PHD)
Entity type:Individual
Prefix:DR
First Name:ADWOA
Middle Name:
Last Name:AKHU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 CHAUNCEY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-1810
Mailing Address - Country:US
Mailing Address - Phone:718-735-5079
Mailing Address - Fax:718-773-2777
Practice Address - Street 1:127 CHAUNCEY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-1810
Practice Address - Country:US
Practice Address - Phone:718-735-5079
Practice Address - Fax:718-773-2777
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013506-1103TC0700X
103TF0200X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist