Provider Demographics
NPI:1881830008
Name:OAKLEY, JILL DEBORAH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:DEBORAH
Last Name:OAKLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JILL
Other - Middle Name:DEBORAH
Other - Last Name:KELTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:19231 VICTORY BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-6308
Mailing Address - Country:US
Mailing Address - Phone:818-708-4500
Mailing Address - Fax:818-654-1956
Practice Address - Street 1:19231 VICTORY BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-6308
Practice Address - Country:US
Practice Address - Phone:818-708-4500
Practice Address - Fax:818-654-1956
Is Sole Proprietor?:No
Enumeration Date:2008-12-17
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist