Provider Demographics
NPI:1730808262
Name:ALBERTY, DANIELLE LATRICE
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LATRICE
Last Name:ALBERTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2747 REDDA ROAD
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93737
Mailing Address - Country:US
Mailing Address - Phone:559-514-3376
Mailing Address - Fax:559-271-8927
Practice Address - Street 1:2142 N BLYTHE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-5402
Practice Address - Country:US
Practice Address - Phone:559-276-7680
Practice Address - Fax:559-271-8927
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 171M00000X, 172V00000X
CA225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker