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NPI Code Detail

MEDICARE: AMY J OLSON LMHC

MEDICARE: AMY J OLSON LMHC
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
1101YM0800XMental Health Counselor5419MA

General Provider Information

NPI Number : 1841361359
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY J OLSON LMHC
Provider Business Mailing Address
First Line : 113 SOUTH ST
Second Line :
City : WILLIAMSBURG
State : MA
Zip : 01096-9750
Country : US
Telephone Number : 413-268-8250
Fax Number :
Provider Business Practice Location Address
First Line : 215 SHELBURNE RD
Second Line :
City : GREENFIELD
State : MA
Zip : 01301-9622
Country : US
Telephone Number : 413-774-1000
Fax Number : 413-774-1197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 07/08/2007

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