| Craig D. Olson Psy.d. & Associates, Llc | |
|
7071 Corporate Way Suite 106 Centerville OH 45459 | |
| (937) 436-5999 | |
| (937) 530-2304 |
| Full Name | Craig D. Olson Psy.d. & Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7071 Corporate Way, Centerville, Ohio |
| Authorized Official Name and Position | Craig Douglas Olson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9374365999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig D. Olson Psy.d. & Associates, Llc Po Box 751371 Dayton OH 45475-1371 Ph: (937) 436-5999 | Craig D. Olson Psy.d. & Associates, Llc 7071 Corporate Way Suite 106 Centerville OH 45459 Ph: (937) 436-5999 |
| NPI Number | 1811261647 |
|---|---|
| Provider Enumeration Date | 02/24/2012 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 1355567546 |
|---|---|
| Medicare Enrollment ID | O20140724000464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811261647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4487 (Ohio) | Primary |
| 103TC0700X | Psychologist - Clinical | 4487 (Ohio) | Secondary |
| Provider Name | Craig D Olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780774943 PECOS PAC ID: 8224290739 Enrollment ID: I20120430000419 |
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