Individual
DR. ADOLPH OTTO DI LORETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
352 BLUE STAR HWY, BLUE STAR PROFESSIONAL BLDG, SOUTH HAVEN, MI 49090-7102
(269) 637-1170
(269) 639-1312
Mailing address
352 BLUE STAR HWY, BLUE STAR PROFESSIONAL BLDG, SOUTH HAVEN, MI 49090-7102
(269) 637-1170
(269) 639-1312
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0822
MI
Other
Enumeration date
02/05/2006
Last updated
09/06/2007
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