Provider Demographics
NPI:1215659768
Name:OLISER, ANDRAS (EDD)
Entity type:Individual
Prefix:DR
First Name:ANDRAS
Middle Name:
Last Name:OLISER
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 DAVEITTA DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-3155
Mailing Address - Country:US
Mailing Address - Phone:912-777-9842
Mailing Address - Fax:
Practice Address - Street 1:50 AL HENDERSON BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-6001
Practice Address - Country:US
Practice Address - Phone:912-777-9842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007594101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional