Healthcare Provider Details

I. General information

NPI: 1306226832
Provider Name (Legal Business Name): ALLISON R DELOREFICE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2015
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 HOPYARD RD SUITE 202
PLEASANTON CA
94588-8528
US

IV. Provider business mailing address

7601 STONERIDGE DR
PLEASANTON CA
94588-4501
US

V. Phone/Fax

Practice location:
  • Phone: 925-847-5051
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY26994
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: