Provider Demographics
NPI:1790018497
Name:ADEINA, DALIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:DALIA
Middle Name:
Last Name:ADEINA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21125 CENTRE POINTE PKWY
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2994
Mailing Address - Country:US
Mailing Address - Phone:855-435-3801
Mailing Address - Fax:661-214-7440
Practice Address - Street 1:21125 CENTRE POINTE PKWY
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-2994
Practice Address - Country:US
Practice Address - Phone:855-435-3801
Practice Address - Fax:661-214-7440
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-12
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22908103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical