Individual
AUDREY OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
2730 WILSHIRE BLVD STE 250, SANTA MONICA, CA 90403-4749
(310) 264-8464
Mailing address
741 GREENTREE RD, PACIFIC PALISADES, CA 90272-3910
(310) 780-0630
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY13082
CA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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