Individual
SPENCER OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
6120 EARLE BROWN DR, SUITE 520, BROOKLYN CENTER, MN 55430-2123
(763) 531-0566
(763) 531-0602
Mailing address
6120 EARLE BROWN DR, SUITE 520, BROOKLYN CENTER, MN 55430-2123
(763) 531-0566
(763) 531-0602
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0838
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101832C154
UCARE
MN
05
—
364748000
—
MN
01
—
411425197
CIGNA BEHAVIORAL HEALTH
MN
01
—
45Q72OL
BCBS
MN
01
—
6164000
MEDICA CHOICE
MN
01
—
680009018
RR MEDICARE
MN
01
—
75232
CIGNA EAP
MN
01
—
94388
OPTUM
MN
01
—
HP19966
HEALTHPARTNERS
MN
Enumeration date
12/04/2006
Last updated
09/14/2016
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