Individual
DR. BRIAN T OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8491 NW 39TH AVE, GAINESVILLE, FL 32606-5635
(352) 265-8185
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
(352) 265-8185
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY 9051
FL
Other
Enumeration date
07/08/2014
Last updated
09/11/2014
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