Dr Roger Olson, PSYD | |
13177 W Persimmon Ln Ste 102, Boise, ID 83713-1986 | |
(208) 938-1236 | |
Not Available |
Full Name | Dr Roger Olson |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 13177 W Persimmon Ln Ste 102, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740331586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY-385 (Idaho) | Primary |
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
Mailing Address | Practice Location Address |
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Dr Roger Olson, PSYD Po Box 140037, Boise, ID 83714-0037 Ph: (208) 938-1236 | Dr Roger Olson, PSYD 13177 W Persimmon Ln Ste 102, Boise, ID 83713-1986 Ph: (208) 938-1236 |
Dr. Barbara Alison Minton, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1403 W Franklin St, Boise, ID 83702 Phone: 208-867-4048 | |
Dr. Winslow Gregory Gerrish, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-514-2500 Fax: 208-375-2217 | |
Dr. Ann Decker Trotter, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 W Fort St, Boise, ID 83702 Phone: 208-422-1000 | |
Andrea Zambukos, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3324 Elder St., Boise, ID 83705 Phone: 208-333-0008 | |
Mark E. Snow, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 311 N. Allumbaugh St, Boise, ID 83704 Phone: 208-375-6402 Fax: 208-323-1850 | |
Dr. Heidi Rachelle Tennyson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1755 N Westgate Dr Ste 260, Boise, ID 83704 Phone: 208-373-0790 Fax: 208-373-0816 | |
Dr. Christine Dee Isaacs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1310 W Hays St, Boise, ID 83702 Phone: 208-343-4208 |