Individual
DR. ADRIAN LOUIS DELLA PORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 253-9131
(559) 253-9049
Mailing address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 253-9131
(559) 253-9049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY15893
LICENSED PSYCHOLOGIST
CA
Enumeration date
01/03/2007
Last updated
07/08/2007
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