Individual
DR. CRAIG DOUGLAS OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7071 CORPORATE WAY, 7071 CORPORATE WAY SUITE106, CENTERVILLE FINANCE, OH 45459-8911
(937) 890-9804
(513) 897-3821
Mailing address
2765 HARLAN RD, WAYNESVILLE, OH 45068-8768
(937) 890-9804
(513) 897-3821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4487
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211199
ANTHEM BC/BS
OH
Enumeration date
10/16/2006
Last updated
07/08/2007
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