Doctor Name: | SCOTT OLSON |
NPI Number: | 1407060080 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A46147 |
Business Practice Address: | 2 Fifer Ave # 2 Corte Madera, CA - 949251134 |
Business Phone Number: | 4159276695 |
Business Fax Number: | 4159272179 |
Mailing Address: | 2 Fifer Ave Ste 200, CORTE MADERA |
State: | CA |
Postal Code: | 949251174 |
Phone Number: | 4159276695 |
Fax Number: | 4159272179 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | A46147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |