| Olson Psychological Services, Pc | |
|
220 W Washington St Suite 420 Marquette MI 49855-4359 | |
| (906) 225-5462 | |
| (906) 225-5462 |
| Full Name | Olson Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 220 W Washington St, Marquette, Michigan |
| Authorized Official Name and Position | Ralph Lloyd Olson (OWNER) |
| Authorized Official Contact | 9062255462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olson Psychological Services, Pc 220 W Washington St Suite 420 Marquette MI 49855-4359 Ph: (906) 225-5462 | Olson Psychological Services, Pc 220 W Washington St Suite 420 Marquette MI 49855-4359 Ph: (906) 225-5462 |
| NPI Number | 1326342502 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 6305202003 |
|---|---|
| Medicare Enrollment ID | O20230523001672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326342502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301008509 (Michigan) | Primary |
| Provider Name | Ralph L Olson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790708881 PECOS PAC ID: 6901953363 Enrollment ID: I20090422000271 |
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