Individual
BECKY J OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6817 SOUTHPOINT PKWY, SUITE 803, JACKSONVILLE, FL 32216-6282
(904) 296-7223
Mailing address
6817 SOUTHPOINT PKWY, SUITE 803, JACKSONVILLE, FL 32216-6282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4563
FL
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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