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NPI Code Detail

MEDICARE: DEBORAH J OLSON CCC/SLP

MEDICARE:   DEBORAH J OLSON  CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistLL00002759WA

General Provider Information

NPI Number : 1316201023
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH J OLSON CCC/SLP
Provider Business Mailing Address
First Line : 325 S UNIVERSITY RD
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-6164
Country : US
Telephone Number : 509-921-9798
Fax Number : 509-921-9774
Provider Business Practice Location Address
First Line : 325 S UNIVERSITY RD
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-6164
Country : US
Telephone Number : 509-921-9798
Fax Number : 509-921-9774
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2012
Last Update Date : 06/27/2012

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Directions to “ DEBORAH J OLSON CCC/SLP” Practice Location

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