Provider Demographics
NPI:1568550101
Name:OLVERA, MARIA EVA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:EVA
Last Name:OLVERA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 LOMA AVE UNIT 6
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-2694
Mailing Address - Country:US
Mailing Address - Phone:562-930-0306
Mailing Address - Fax:
Practice Address - Street 1:500 CITY PKWY W
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2941
Practice Address - Country:US
Practice Address - Phone:714-834-4132
Practice Address - Fax:714-568-4527
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14876103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist