| Doctor Name: | JODILYNN F OLSON |
| NPI Number: | 1265877260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD-LP |
| License Number: | LP5610 |
| Business Practice Address: | 701 Hewitt Blvd Red Wing, MN - 550662848 |
| Business Phone Number: | 6512675000 |
| Business Fax Number: | 6512675000 |
| Mailing Address: | 701 Hewitt Blvd, RED WING |
| State: | MN |
| Postal Code: | 550662848 |
| Phone Number: | 6512675000 |
| Fax Number: | 6512675000 |
| NPI Enumeration Date: | 05/03/2013 |
| NPI Last Update Date: | 05/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP5610 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |