Ms Elizabeth Ann Olson, MA | |
4500 Park Glen Rd Ste 450, Saint Louis Park, MN 55416-5190 | |
(952) 444-9744 | |
Not Available |
Full Name | Ms Elizabeth Ann Olson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4500 Park Glen Rd Ste 450, Saint Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033493390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 01119 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | 657 (Minnesota) | Primary |
Entity Name | Elizabeth Wagner Psyd Lp Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740637818 PECOS PAC ID: 4183967219 Enrollment ID: O20190513002410 |
Mailing Address | Practice Location Address |
---|---|
Ms Elizabeth Ann Olson, MA 6571 140th Ave Ne, Spicer, MN 56288-8658 Ph: (320) 295-6470 | Ms Elizabeth Ann Olson, MA 4500 Park Glen Rd Ste 450, Saint Louis Park, MN 55416-5190 Ph: (952) 444-9744 |
Kaiya Ruff, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, Saint Louis Park, MN 55426 Phone: 612-223-8898 | |
Kristal Rose Mckenzie, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3381 Gorham Ave, Saint Louis Park, MN 55426 Phone: 952-926-2600 | |
Tracy Lynn Hess, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Saint Louis Park, MN 55426 Phone: 612-223-8898 | |
Molly Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7601 Wayzata Blvd, Saint Louis Park, MN 55426 Phone: 320-262-4611 | |
Katie Carufel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8085 Wayzata Blvd Ste 203, Saint Louis Park, MN 55426 Phone: 612-296-3800 | |
Todd James Connaughty, LPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 3000 Highway 100 S Apt 203, Saint Louis Park, MN 55416 Phone: 612-719-3091 |