Individual
MS. EMMY J. OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A./SLP-A
Contact information
Practice address
3117 LITHIA PINECREST RD, VALRICO, FL 33596-5632
(813) 662-1106
Mailing address
208 DRAGONS FIRE PL, VALRICO, FL 33594-3341
(813) 546-3886
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SI 1817
FL
2355S0801X
Speech-Language Assistant
Primary
SI 1817
FL
Other
Enumeration date
09/24/2010
Last updated
12/17/2010
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