Provider Demographics
NPI:1720238157
Name:SHOJI, ADRIANNA LOUISE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ADRIANNA
Middle Name:LOUISE
Last Name:SHOJI
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 1:5751 N NATALIE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-2532
Mailing Address - Country:US
Mailing Address - Phone:559-271-2443
Mailing Address - Fax:
Practice Address - Street 1:5751 N NATALIE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-2532
Practice Address - Country:US
Practice Address - Phone:559-271-2443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21478103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical