Provider Demographics
NPI:1538217708
Name:FALOWO, ABIODUN OLATUNDE
Entity type:Individual
Prefix:MR
First Name:ABIODUN
Middle Name:OLATUNDE
Last Name:FALOWO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 ALDERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1503
Mailing Address - Country:US
Mailing Address - Phone:301-336-4299
Mailing Address - Fax:
Practice Address - Street 1:114 E COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3405
Practice Address - Country:US
Practice Address - Phone:703-533-2256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor