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NPI Code Detail

MEDICARE: ASHLEY OLSEN

MEDICARE:   ASHLEY  OLSEN
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
1171M00000XCase Manager/Care Coordinator
2222Q00000XDevelopmental TherapistFL
3104100000XSocial WorkerFL

General Provider Information

NPI Number : 1376802801
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY OLSEN
Provider Business Mailing Address
First Line : 1655 PALM BEACH LAKES BLVD STE 600
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1655 PALM BEACH LAKES BLVD STE 600
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2208
Country : US
Telephone Number : 561-881-2822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2012
Last Update Date : 04/03/2019

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Directions to “ ASHLEY OLSEN ” Practice Location

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