Provider Demographics
NPI:1972900124
Name:ACLUFI, ALLISON J (PSYCHOLOGIST PHD EDD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:J
Last Name:ACLUFI
Suffix:
Gender:F
Credentials:PSYCHOLOGIST PHD EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 ASHE ST
Mailing Address - Street 2:
Mailing Address - City:LAKEPORT
Mailing Address - State:CA
Mailing Address - Zip Code:95453-3210
Mailing Address - Country:US
Mailing Address - Phone:213-220-8384
Mailing Address - Fax:
Practice Address - Street 1:380 N MAIN ST
Practice Address - Street 2:SUITE J
Practice Address - City:LAKEPORT
Practice Address - State:CA
Practice Address - Zip Code:95453-4843
Practice Address - Country:US
Practice Address - Phone:213-220-8384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26810103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical