Individual
JEFFREY PAUL OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
2275 YOUNGMAN AVE STE 204, SAINT PAUL, MN 55116-3053
(148) 761-2247
Mailing address
2275 YOUNGMAN AVE STE 204, SAINT PAUL, MN 55116-3053
(148) 761-2247
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3850
MN
Other
Enumeration date
08/30/2019
Last updated
12/11/2019
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