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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB ADAL

Active Sole Proprietor

JACOB ADAL is a Clinical Psychologist healthcare provider located in CANYON COUNTRY, California. NPI 1801117072 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · CANYON COUNTRY, CA

Registration Details

NPI Number
1801117072
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2010 (16.165451082965 yrs)
Last Updated
Nov 19, 2020
Licenses
PSY28617 (CA)
PSY28617 (CA)
PSY28617 (CA)
PSY28617 (CA)
PSY28617 (CA)
Sole Proprietor
Yes

Practice Information

Address
16654 SOLEDAD CANYON RD
SUITE 204
CANYON COUNTRY, CA, 913873217
Browse CA providers · Browse ZIP 91387
Phone
6612706644
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Counseling Psychologist
Additional Specialty
Family Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.