Doctor Name: | PAMELA J OLSON |
NPI Number: | 1720097199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 030439R |
Business Practice Address: | 4 Fork St Ste 3080 Mount Pocono, PA - 183441209 |
Business Phone Number: | 5708942446 |
Business Fax Number: | 5708944511 |
Mailing Address: | 86 Horned Owl Lane, TOBYHANNA |
State: | PA |
Postal Code: | 184669519 |
Phone Number: | 5708942446 |
Fax Number: | 5708944511 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 12/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 030439R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |