Individual
BARRY ROBERT OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
3425 COFFEE RD, SUITE 2A, MODESTO, CA 95355-1582
(209) 524-9401
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 7365
CA
Other
Enumeration date
09/29/2006
Last updated
09/03/2013
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