Individual
DR. DAMARIS A OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RN, MSN
Contact information
Practice address
5516 LONAS DR., BLDG II, SUITE 250, KNOXVILLE, TN 37909-3247
(865) 588-7132
(865) 558-5967
Mailing address
5516 LONAS DR., BLDG II, SUITE 250, KNOXVILLE, TN 37909-3247
(865) 588-7132
(865) 558-5967
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
MDGL0004
MN
103TC0700X
Clinical Psychologist
P0000001198
TN
103TC0700X
Clinical Psychologist
Primary
TNP0000001198
TN
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
TNRN0000028104
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3687897
—
TN
01
—
P0000001198
PSYCHOLOGIST, BOARD OF EX
TN
Enumeration date
07/05/2005
Last updated
08/24/2011
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