Provider Demographics
NPI:1295735280
Name:OSTER, MICHELE YVETTE (PSYD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:YVETTE
Last Name:OSTER
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:P.O. BOX 4400
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92052-4400
Mailing Address - Country:US
Mailing Address - Phone:858-334-3505
Mailing Address - Fax:760-941-3924
Practice Address - Street 1:12526 HIGH BLUFF DRIVE
Practice Address - Street 2:SUITE 300, PLAZA DEL MAR
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130
Practice Address - Country:US
Practice Address - Phone:858-334-3505
Practice Address - Fax:760-941-3924
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-30
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17359103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical