Healthcare Provider Details

I. General information

NPI: 1013357748
Provider Name (Legal Business Name): FATIMA MARIE COLEY PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2013
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 THE CITY DRIVE SOUTH 2ND FL (MOB #44)
ORANGE CA
92868
US

IV. Provider business mailing address

301 THE CITY DRIVE SOUTH 2ND FL (MOB #44)
ORANGE CA
92868
US

V. Phone/Fax

Practice location:
  • Phone: 323-525-6400
  • Fax: 323-565-2133
Mailing address:
  • Phone: 714-935-6363
  • Fax: 323-565-2133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: