Doctor Name: | MRS. NIKOLE OLSON |
NPI Number: | 1376811851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 021485-1 |
Business Practice Address: | 5871 Groveland Station Rd Mount Morris, NY - 145109767 |
Business Phone Number: | 5856584023 |
Business Fax Number: | |
Mailing Address: | 1735 Elmwood Cir, FARMINGTON |
State: | NY |
Postal Code: | 144259731 |
Phone Number: | 5852615382 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 021485-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |