Phyllis M Olson Psyd Hspp Llc | |
3310 S Main St Suite D1 Anderson IN 46013-4234 | |
(765) 622-7622 | |
(765) 622-9032 |
Full Name | Phyllis M Olson Psyd Hspp Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 3310 S Main St, Anderson, Indiana |
Authorized Official Name and Position | Phyllis M Olson (OWNER/PRESIDENT) |
Authorized Official Contact | 7656227622 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phyllis M Olson Psyd Hspp Llc 3310 S Main St Suite D1 Anderson IN 46013-4234 Ph: (765) 622-7622 | Phyllis M Olson Psyd Hspp Llc 3310 S Main St Suite D1 Anderson IN 46013-4234 Ph: (765) 622-7622 |
NPI Number | 1659565026 |
---|---|
Provider Enumeration Date | 08/29/2007 |
Last Update Date | 10/04/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659565026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 20041304A (Indiana) | Primary |
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