Organization
PHYLLIS M OLSON PSYD HSPP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS M OLSON PSY.D., HSPP (OWNER/PRESIDENT)
(765) 622-7622
Entity
Organization
Contact information
Practice address
3310 S MAIN ST, SUITE D1, ANDERSON, IN 46013-4234
(765) 622-7622
(765) 622-9032
Mailing address
3310 S MAIN ST, SUITE D1, ANDERSON, IN 46013-4234
(765) 622-7622
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041304A
IN
Other
Enumeration date
08/29/2007
Last updated
10/04/2007
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