Theodore Kent Olson PHD

NPI 1912009614 - Psychologist - 103T00000X

NPI Details
NPI 1912009614
Gender Male
Enumeration Date 09/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 N OAK AVE
MARSHFIELD WI, 54449, US
Phone (715) 389-3825
Fax
Business Location
1000 N OAK AVE
MARSHFIELD WI, 54449-5777, US
Phone
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Wisconsin
License Number 1675
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According to our database, Theodore Kent Olson PHD NPI is 1912009614, taxonomy code is 103T00000X and license number is 1675, license state is located at Wisconsin. Theodore Kent Olson PHD physically located at 1000 N Oak Ave, Marshfield WI, 54449. NPI Number Theodore Kent Olson PHD has the Individual type.

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1912009614 NPI number is provided on an as is basis without warranty of any kind. 1912009614 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore Kent Olson PHD are for informational purposes only.