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Individual

DR. BRIAN C OLBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
56 MANIZAKS AVE, PUNTA GORDA, FL 33983-4223
(941) 204-0059
Mailing address
56 MANIZAKS AVE, PUNTA GORDA, FL 33983-4223
(941) 204-0059

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY 6434
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
763251700
FL
Enumeration date
05/20/2007
Last updated
03/04/2020
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