Provider Demographics
NPI:1578232476
Name:ADEDIGBA, ADEDOTUN
Entity type:Individual
Prefix:
First Name:ADEDOTUN
Middle Name:
Last Name:ADEDIGBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DOT
Other - Middle Name:
Other - Last Name:ADEDIGBA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6066 LEESBURG PIKE STE 710
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-2234
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6066 LEESBURG PIKE STE 710
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-2234
Practice Address - Country:US
Practice Address - Phone:571-281-8633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician