Doctor Name: | MRS. KERI LYNNE OLSEN |
NPI Number: | 1366565293 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., M.A., CCC-SLP |
License Number: | SA5712 |
Business Practice Address: | 3301 Sw 34th Cir Ste 202 Ocala, FL - 344746621 |
Business Phone Number: | 3528757330 |
Business Fax Number: | |
Mailing Address: | 5700 W Pine Cir, CRYSTAL RIVER |
State: | FL |
Postal Code: | 344297517 |
Phone Number: | 3525641194 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2007 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA5712 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |