Individual
DR. PETER ERIC OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.
Contact information
Practice address
8085 WAYZATA BLVD, SUITE 216, GOLDEN VALLEY, MN 55426-1453
(952) 546-7056
(952) 847-5247
Mailing address
8085 WAYZATA BLVD, SUITE 216, GOLDEN VALLEY, MN 55426-1453
(952) 546-7056
(952) 847-5247
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP 0604
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41-1691779
FED TAX ID #
MN
Enumeration date
07/19/2006
Last updated
07/08/2007
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