Doctor Name: | STEFANIE J OLSON |
NPI Number: | 1205891231 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2914 |
Business Practice Address: | 4502 E 41st St Office 2j18 Tulsa, OK - 741352553 |
Business Phone Number: | 9186603279 |
Business Fax Number: | 9186603297 |
Mailing Address: | 1600 N Phillips Ave, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731044619 |
Phone Number: | 8007006282 |
Fax Number: | 4052711707 |
NPI Enumeration Date: | 04/20/2006 |
NPI Last Update Date: | 10/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2914 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |