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General NPI Number Information
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NPI Number | 1790567139
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Entity Type | Individual
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Provider Name | LOUISE OLSON PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 629 FIFTH AVE STE 109
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City | PELHAM
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State | NY
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Zip | 10803-3708
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Country | US
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Telephone | 914-368-2995
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Fax |
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Provider Business Mailing Address
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Address Line | 14 BURTON RD
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City | LARCHMONT
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State | NY
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Zip | 10538-3302
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P133305
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License Number State | NY
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