Healthcare Provider Details

I. General information

NPI: 1154233963
Provider Name (Legal Business Name): JAMIE OLSEN MA, EDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 SW 33RD ST
TOPEKA KS
66614-4635
US

IV. Provider business mailing address

10910 SW 61ST ST
TOPEKA KS
66610-9031
US

V. Phone/Fax

Practice location:
  • Phone: 785-339-4932
  • Fax:
Mailing address:
  • Phone: 785-969-7186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number3982442761
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: