Individual
MRS. CAROLE C OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
4 N. PINE STREET, NINANTIC, CT 06357
(401) 862-9651
(310) 659-9217
Mailing address
4 N. PINE STREET, NINANTIC, CT 06357
(401) 862-9651
(310) 659-9217
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3661
CT
103TC0700X
Clinical Psychologist
PS00750
RI
103TC0700X
Clinical Psychologist
Primary
PSY22829
CA
Other
Enumeration date
10/26/2006
Last updated
06/03/2019
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