Healthcare Provider Details

I. General information

NPI: 1558266650
Provider Name (Legal Business Name): BETSY OLBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2946 SUTTON RD
ADRIAN MI
49221-8301
US

IV. Provider business mailing address

5130 MICHIGAN AVE
TIPTON MI
49287-9101
US

V. Phone/Fax

Practice location:
  • Phone: 517-263-8931
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: