| Doctor Name: | DR. CRAIG DOUGLAS OLSON |
| NPI Number: | 1780774943 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 4487 |
| Business Practice Address: | 7071 Corporate Way 7071 Corporate Way Suite106 Centerville Finance, OH - 454598911 |
| Business Phone Number: | 9378909804 |
| Business Fax Number: | 5138973821 |
| Mailing Address: | 2765 Harlan Rd, WAYNESVILLE |
| State: | OH |
| Postal Code: | 450688768 |
| Phone Number: | 9378909804 |
| Fax Number: | 5138973821 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4487 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |