Healthcare Provider Details

I. General information

NPI: 1134140882
Provider Name (Legal Business Name): OLIVER OCSKAY PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 11/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

888 W 2ND ST STE 304
RENO NV
89503-5626
US

IV. Provider business mailing address

888 W 2ND ST SUITE 304
RENO NV
89503-5626
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-5775
  • Fax: 775-828-0220
Mailing address:
  • Phone: 775-786-5775
  • Fax: 775-828-0220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY088
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: