DR. LAUREL OLVERA (NPI# 1194045971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194045971 |
Entity Type | Individual |
Full Name | DR. LAUREL OLVERA |
Credential | PH.D |
Practice Address |
3528 El Camino Real Atascadero CA 93422-2531 |
Mailing Address |
740 Forest Ave Templeton CA 93465-5050 |
Practice Telephone | 8053917001 |
Practice Fax Number | 8052216023 |
Mailing Telephone | 8053917001 |
Mailing Fax Number | 8052216023 |
Enumeration Date | 2010-06-03 |
Last Update Date | 2018-01-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | PSY-29517 | CA | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-29517 | CA | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY-29517 | CA | Behavioral Health & Social Service Providers |
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PSY-29517 | CA | Behavioral Health & Social Service Providers |
Street Address |
3528 EL CAMINO REAL |
City | ATASCADERO |
State | CA |
Zip Code | 93422-2531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801930078 | Cindy Mitchell | Psychologist | 3528 El Camino Real, Atascadero, CA 93422 | 2007-02-19 |
1316554504 | Tisha Aronsen Lmft | Marriage & Family Therapist | 3528 El Camino Real, Atascadero, CA 93422-2531 | 2020-09-30 |
1639487374 | Elisabeth Inomaa-bustillos | Psychologist | 3528 El Camino Real, Atascadero, CA 93422-2531 | 2010-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356903645 | Michael E Nevin | Licensed Psychiatric Technician | 6550 Morro Rd, Unit D, Atascadero, CA 93422 | 2019-07-08 |
1225495583 | Kelly Michelle Morrow | Counselor | 7130 Sombrilla Ave., Atascadero, CA 93422 | 2016-01-18 |
1609242817 | Cheyenne M Britton | Counselor | 9366 Ribereng Circle, Atascadero, CA 93422 | 2015-08-12 |
1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
1134548498 | Allison Muller | Counselor | 8000 Santa Rosa Road, Atascadero, CA 93422 | 2014-04-15 |
1376973875 | Jana Slezakova | Psychologist | 10333 El Camino Real Dept Of, Atascadero, CA 93422 | 2013-11-19 |
1013341189 | Kimberly L Schwab | Counselor | 5575 Hospital Dr., Atascadero, CA 93422 | 2013-08-26 |
1982941274 | Krisitana Lynn Hatcher Miller | Counselor | 6312 Atascadero Ave, Atascadero, CA 93422 | 2013-01-07 |
1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
1083987523 | Kathryn Gaoiran Bartlett | Pharmacist | 8200 El Camino Real, Atascadero, CA 93422 | 2012-02-14 |
Find all providers in zip 93422 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063969921 | Sarah Joy Park | Psychologist | 11605 Cardelina Ln, Atascadero, CA 93422-6042 | 2016-09-07 |
1376973875 | Jana Slezakova | Psychologist | 10333 El Camino Real Dept Of, Atascadero, CA 93422 | 2013-11-19 |
1417181108 | Michael Dennis Harmon | Psychologist | 7001 El Camino Real, Atascadero, CA 93423 | 2009-05-08 |
1770777609 | Cheryll A Hoeller | Psychologist | 10333 Elcamino Real, Atascadero, CA 93423-7001 | 2007-09-04 |
1457542276 | Dayna Nelson, Psyd Family Psychology, A Professional Corporation | Psychologist | 5805 Capistrano Ave Ste B, Atascadero, CA 93422-7218 | 2007-08-06 |
1053968552 | Michael Bormacoff Jr. | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2019-08-20 |
1164991220 | David Pyo | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2018-11-19 |
1407324387 | Travis Mcgee | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2018-11-08 |
1881178440 | Christopher Allen Webb | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2018-09-19 |
1710473566 | Hayley Wechsler | Psychologist | 10333 El Camino Real, Atascadero, CA 93422 | 2018-07-05 |
Find all providers in ATASCADERO |
City | ATASCADERO |
Zip Code | 93422 |
Please comment or provide details below to improve the information on DR. LAUREL OLVERA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.