Individual
DR. BRADLEY W. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3375 N ARLINGTON HEIGHTS RD, SUITE F, ARLINGTON HEIGHTS, IL 60004-7701
(847) 577-4530
(847) 577-4306
Mailing address
3375 N ARLINGTON HEIGHTS RD, SUITE F, ARLINGTON HEIGHTS, IL 60004-7701
(847) 577-4530
(847) 577-4306
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437243094
GROUP PROVIDER
IL
Enumeration date
01/22/2007
Last updated
07/08/2007
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