Ojelade, Ifetayo I.

Ojelade, Ifetayo I. is an individual health care provider with primary practice located at 1867 Harvard Ave , College Park GA 30337-3526. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Ojelade, Ifetayo I. can be contacted via phone (404) 635-6021.

Contact Information

Primary practice address
1867 Harvard Ave College Park GA 30337-3526
Phone: (404) 635-6021
Fax: (404) 601-7347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004532 Georgia
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY003437 Georgia

Profile Details

NPI number 1639263171
LBN Legal business name Ojelade, Ifetayo I.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Feb 27th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639263171 NPPES
Georgia MEDICAID 708181433A

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