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NPI Code Detail

MEDICARE: JEFFREY ADLER

MEDICARE:   JEFFREY  ADLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY11962CA

General Provider Information

NPI Number : 1306987169
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY ADLER
Provider Business Mailing Address
First Line : 9650 ZELZAH AVE
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-2003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9650 ZELZAH AVE
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-2003
Country : US
Telephone Number : 818-993-9311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 01/28/2015

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Directions to “ JEFFREY ADLER ” Practice Location

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