Provider Demographics
NPI:1396181897
Name:OLER, GENE AHWAH (PHD, MSW)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:AHWAH
Last Name:OLER
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:MS
Other - First Name:GENE
Other - Middle Name:ALLISON SABRINA
Other - Last Name:AHWAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, MSW
Mailing Address - Street 1:740 ALISSA CT
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-5647
Mailing Address - Country:US
Mailing Address - Phone:831-630-1659
Mailing Address - Fax:
Practice Address - Street 1:740 ALISSA CT
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-5647
Practice Address - Country:US
Practice Address - Phone:831-630-1659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-12
Last Update Date:2013-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS36-630103TC0700X
CALCS26282104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker