Roger Olsen, LP, PSYD | |
4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 | |
(651) 882-6299 | |
(651) 683-0057 |
Full Name | Roger Olsen |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 4660 Slater Rd, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043347131 | NPI | - | NPPES |
084673200 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
Entity Name | Roger A Olsen Psyd Lp Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649378019 PECOS PAC ID: 5294749883 Enrollment ID: O20060202000919 |
Mailing Address | Practice Location Address |
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Roger Olsen, LP, PSYD 4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 Ph: (651) 882-6299 | Roger Olsen, LP, PSYD 4660 Slater Rd, Suite 210, Eagan, MN 55122-4047 Ph: (651) 882-6299 |
Dr. Kurt Robert Illig, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3795 Pilot Knob Rd, Eagan, MN 55122 Phone: 952-595-5652 | |
Patrick Stephen Carney, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 860 Blue Gentian Rd Ste 200, Eagan, MN 55121 Phone: 651-252-1050 | |
Michael Lee Bortel, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3450 Oleary Ln, Eagan, MN 55123 Phone: 651-454-0114 Fax: 651-454-3492 | |
Dr. Leslie Kyle Adair, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1121 Town Centre Dr, Eagan, MN 55123 Phone: 612-978-1852 Fax: 516-152-3286 | |
Zachary Bella, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3795 Pilot Knob Rd, Eagan, MN 55122 Phone: 952-595-5652 | |
Dr. Karen Nicole Chinnock, PH.D, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 930 Blue Gentian Rd, Eagan, MN 55121 Phone: 651-348-8851 |