Provider Demographics
NPI:1790711901
Name:OEHRLE, NANCY E (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:OEHRLE
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 1:1797 FOURTH ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4347
Mailing Address - Country:US
Mailing Address - Phone:925-443-2500
Mailing Address - Fax:925-443-0771
Practice Address - Street 1:1797 FOURTH ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4347
Practice Address - Country:US
Practice Address - Phone:925-443-2500
Practice Address - Fax:925-443-0771
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16168103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPL161680Medicare PIN