# DBA SCOTT R. OLSON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083954788
- **Authorized official:** SCOTT RONALD OLSON LMHC (CLINICIAN)
- **Authorized official phone:** (781) 249-8654

## Contact information

- **Practice address:** 500 CUMMINGS CENTER SUITE 5350, NORTH SHORE PSYCHIATRY CENTER, BEVERLY, MA 01915
- **Practice address phone:** (978) 922-8600
- **Practice address fax:** (978) 922-8601
- **Mailing address:** 34 RANTOUL ST, UNIT 2, BEVERLY, MA 01915-5006
- **Mailing address phone:** (978) 969-2785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2013
- **Last updated:** 02/25/2013