Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLANREWAJU W ETTI
Active Sole ProprietorCommunity/Behavioral Health · BALTIMORE, MD
Registration Details
- NPI Number
- 1962038075
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2020 (6.0881392539721 yrs)
- Last Updated
- Mar 20, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 E 25TH STBALTIMORE, MD, 212185304Browse MD providers · Browse ZIP 21218
- Phone
- 4108893000
- Fax
- 4108893003
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| PAOLA A. SANSUR | MD | 1144359530 |
| NKEM EGUDIA | — | 1295045623 |
| MS. TERRY WHITE | LCSW-C | 1215216668 |
| DARRYL XAVIER WHITEHEAD | CEO | 1710585880 |
| TANIKA WALKER | — | 1528641727 |
| TIFFANY BUNCH | — | 1962078717 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.