Individual
MS. DEANNA MICHELLE OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10533 WASHINGTON BLVD, CULVER CITY, CA 90232
(310) 694-5590
Mailing address
11869 PORT RD, CULVER CITY, CA 90230-6046
(323) 620-2994
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24435
CA
Other
Enumeration date
03/28/2007
Last updated
01/28/2013
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