Provider Demographics
NPI:1245637263
Name:OLIO, DEVIN SMITH (MASTER PSYCHOGOLY)
Entity type:Individual
Prefix:MR
First Name:DEVIN
Middle Name:SMITH
Last Name:OLIO
Suffix:
Gender:M
Credentials:MASTER PSYCHOGOLY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WILLIAMSBURG LN STE B
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2225
Mailing Address - Country:US
Mailing Address - Phone:530-708-1625
Mailing Address - Fax:
Practice Address - Street 1:11 WILLIAMSBURG LN STE B
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2225
Practice Address - Country:US
Practice Address - Phone:530-708-1625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY35364103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical