Individual
SPENCER OLSON
Active
Individual
SPENCER OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
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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