Individual
MR. COLLIN MARK OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11331224-4102
UT
235Z00000X
Speech-Language Pathologist
11331224-4104
UT
Other
Enumeration date
06/14/2019
Last updated
12/01/2021
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