Provider Demographics
NPI:1083754493
Name:DELL'AQUILA, RALPH DANIEL (EDD, LPC)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:DANIEL
Last Name:DELL'AQUILA
Suffix:
Gender:M
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 BELLEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3589
Mailing Address - Country:US
Mailing Address - Phone:973-632-0269
Mailing Address - Fax:
Practice Address - Street 1:206 BELLEVILLE AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3589
Practice Address - Country:US
Practice Address - Phone:973-632-0269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00129700101YP2500X
DCPRC57101YP2500X
NJ35SI00495600103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional