=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417059080
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DARLENE JEAN OLSON ED.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2006
-----------------------------------------------------
Last Update Date | 12/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1344 WOODMAN DR
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45432-3475
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-294-3794
-----------------------------------------------------
Fax | 937-293-3884
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 300 PATTERSON RD
-----------------------------------------------------
City | DAYTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45419-3933
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-294-3794
-----------------------------------------------------
Fax | 937-293-3884
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC1900X
-----------------------------------------------------
Taxonomy Name | Counseling Psychologist
-----------------------------------------------------
License Number | 4656
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------