Healthcare Provider Details

I. General information

NPI: 1245313006
Provider Name (Legal Business Name): DENISE OLIN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3938 ROUTE 7A
ARLINGTON VT
05250-4456
US

IV. Provider business mailing address

PO BOX 431
ARLINGTON VT
05250-0431
US

V. Phone/Fax

Practice location:
  • Phone: 530-888-8037
  • Fax: 888-357-3255
Mailing address:
  • Phone: 530-888-8037
  • Fax: 888-357-3255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20480
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: