Healthcare Provider Details

I. General information

NPI: 1720916760
Provider Name (Legal Business Name): SELIN DENIZ ONEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 PAULDING CIR
ARROYO GRANDE CA
93420-2857
US

IV. Provider business mailing address

PO BOX 221
MENLO PARK CA
94026-0221
US

V. Phone/Fax

Practice location:
  • Phone: 805-556-5532
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number153298
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: