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NPI Code Detail

MEDICARE: STEFANIE J OLSON MS, CCC-SLP

MEDICARE: STEFANIE J OLSON MS, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2914OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205891231
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE J OLSON MS, CCC-SLP
Provider Business Mailing Address
First Line : 1600 N PHILLIPS AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-4619
Country : US
Telephone Number : 800-700-6282
Fax Number : 405-271-1707
Provider Business Practice Location Address
First Line : 4502 E 41ST ST
Second Line : OFFICE 2J18
City : TULSA
State : OK
Zip : 74135-2553
Country : US
Telephone Number : 918-660-3279
Fax Number : 918-660-3297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 10/25/2007

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