Provider Demographics
NPI:1093090789
Name:OLAH, AMIE (LMFT)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:
Last Name:OLAH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:AMIE
Other - Middle Name:
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3555 ROSECRANS ST STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-3232
Mailing Address - Country:US
Mailing Address - Phone:619-573-6758
Mailing Address - Fax:
Practice Address - Street 1:2985 MARQUETTE ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-1009
Practice Address - Country:US
Practice Address - Phone:619-573-6758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist