NPI 1972900124 · live from the CMS NPI Registry
Allison J. Aclufi, Psychologist PhD EdD
Psychologist in Lakeport, CA. National Provider Identifier 1972900124, active.
NPI record
| NPI | 1972900124 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 380 N Main St, Suite J, Lakeport, CA 95453 |
| Practice phone | 213-220-8384 |
| Mailing address | 2480 Ashe St, Lakeport, CA 95453 |
| Enumerated | December 3, 2014 |
| Last updated | December 3, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 26810 (CA) |
| Psychologist, Clinical | 103TC0700X | 26810 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.