Organization
CRAIG D. OLSON, PSY.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDIE GATES (CREDENTIALING SPECIALIST)
(937) 609-7830
Entity
Organization
Contact information
Practice address
7071 CORPORATE WAY, SUITE 106, CENTERVILLE, OH 45459-8911
(937) 890-9804
(937) 293-3884
Mailing address
300 PATTERSON RD, DAYTON, OH 45419-3933
(937) 890-9804
(937) 293-3884
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4487
OH
Other
Enumeration date
10/09/2007
Last updated
09/12/2011
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