Individual
THOMAS R OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5030 HARRISON BLVD, OGDEN, UT 84403-4311
(801) 387-5600
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-5600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1151642501
UT
Other
Enumeration date
07/21/2006
Last updated
12/04/2012
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