Organization
MICHAEL L. OLSON PHD INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L OLSON PHD (PRESIDENT)
(206) 387-7100
Entity
Organization
Contact information
Practice address
5108 196TH ST SW STE 208, LYNNWOOD, WA 98036-6152
(206) 387-7100
(425) 670-6578
Mailing address
5108 196TH ST SW STE 208, LYNNWOOD, WA 98036-6152
(206) 387-7100
(425) 670-6578
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1263
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7139405
—
WA
Enumeration date
07/02/2007
Last updated
06/13/2023
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