Individual
DR. LISA R. OLSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1200 12TH AVE S, SEATTLE, WA 98144-2712
(206) 326-2400
Mailing address
1200 12TH AVE S, SEATTLE, WA 98144-2712
(206) 326-2400
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY00002477
WA
103T00000X
Psychologist
PY00002477
WA
103TC0700X
Clinical Psychologist
PY00002477
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8327884
—
WA
Enumeration date
10/18/2005
Last updated
12/24/2024
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