Provider Demographics
NPI:1487889648
Name:AKIKO, GODWIN (PHD)
Entity type:Individual
Prefix:DR
First Name:GODWIN
Middle Name:
Last Name:AKIKO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5072 MORRIS ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-4127
Mailing Address - Country:US
Mailing Address - Phone:215-410-2940
Mailing Address - Fax:
Practice Address - Street 1:MORRIS STREET 5072
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-4127
Practice Address - Country:US
Practice Address - Phone:215-410-2940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst