Doctor Name: | MRS. BETH ADAIR OLCHEFSKE |
NPI Number: | 1205083375 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LP |
License Number: | |
Business Practice Address: | 668 Meadow Ln Albert Lea, MN - 560074301 |
Business Phone Number: | 5073836116 |
Business Fax Number: | 5073771724 |
Mailing Address: | 668 Meadow Ln, ALBERT LEA |
State: | MN |
Postal Code: | 560074301 |
Phone Number: | 5073836116 |
Fax Number: | 5073771724 |
NPI Enumeration Date: | 08/20/2008 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |