Provider Demographics
NPI:1538412085
Name:OLNEY, CHRISTINE LEE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LEE
Last Name:OLNEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 DEBUSSY LN
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5322
Mailing Address - Country:US
Mailing Address - Phone:805-443-3729
Mailing Address - Fax:
Practice Address - Street 1:4505 LAS VIRGENES RD
Practice Address - Street 2:STE. 202
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1956
Practice Address - Country:US
Practice Address - Phone:818-880-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25121103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical