Individual
LAWRENCE STEWART OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2005 E 2700 S STE 180, SALT LAKE CITY, UT 84109-1759
(801) 230-6508
(801) 322-3890
Mailing address
2005 E 2700 S STE 180, SALT LAKE CITY, UT 84109-1759
(801) 230-6508
(801) 322-3890
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
102121-2501
UT
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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