Spencer Olson is a Clinical in Brooklyn Center, Minnesota. Spencer Olson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Spencer Olson is 1588722524. The last update date is 2016-09-14.
Spencer Olson's current location address is 6120 Earle Brown Dr, Brooklyn Center, Minnesota. You can contact this provider via phone number 7635310566 and fax number 7635310602. The mailing address for Spencer Olson is 6120 Earle Brown Dr, Brooklyn Center, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Spencer Olson |
|---|---|
| Address | 6120 Earle Brown Dr, Brooklyn Center, Minnesota |
| Phone Number | 7635310566 |
| Fax Number | 7635310602 |
| Sole Proprietor | N |
| Credentials | LP |
NPI Number Detail
| NPI Number | 1588722524 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2016-09-14 |
Provider Mailing Address Detail
| Address | 6120 Earle Brown Dr |
|---|---|
| City | Brooklyn Center |
| State | Minnesota (MN) |
| Post Code | 554302123 |
| Phone Number | 7635310566 |
| Fax Number | 7635310602 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP0838 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 94388 | MN | OPTUM | |
| 75232 | MN | CIGNA EAP | |
| 364748000 | MN | -- | |
| 45Q72OL | MN | BCBS | |
| 6164000 | MN | MEDICA CHOICE | |
| 101832C154 | MN | UCARE | |
| HP19966 | MN | HEALTHPARTNERS | |
| 411425197 | MN | CIGNA BEHAVIORAL HEALTH | |
| 680009018 | MN | RR MEDICARE |
Post Comment/ Review Below
What is the Spencer Olson's 1588722524?
The Spencer Olson's NPI (National Provider Identifier) Number is 1588722524. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Spencer Olson located?
The Spencer Olson is located at 6120 Earle Brown Dr, Brooklyn Center, MN 554302123.
What is the Spencer Olson's area of specialization and corresponding taxonomy classification?
The Spencer Olson's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Spencer Olson receive its 1588722524 assignment from the Centers for Medicare & Medicaid Services?
The Spencer Olson was assigned its 1588722524 by the Centers for Medicare & Medicaid Services on 2006-12-04.
When was the information related to Spencer Olson most recently updated or refreshed?
The details pertaining to the Spencer Olson, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-09-14.