Healthcare Provider Details

I. General information

NPI: 1366009599
Provider Name (Legal Business Name): LINDSAY ALEXANDRA OLSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2019
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 HILLRISE CIR
LAS CRUCES NM
88011-4741
US

IV. Provider business mailing address

6459 W 77TH AVE
ARVADA CO
80003-2329
US

V. Phone/Fax

Practice location:
  • Phone: 720-966-8200
  • Fax:
Mailing address:
  • Phone: 503-707-6298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY.0006469
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: