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NPI Code Detail

MEDICARE: DR. STEPHANIE ANN OLSON PHD

MEDICARE: DR. STEPHANIE ANN OLSON PHD
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
1101YP2500XProfessional Counselor8285NC
2101Y00000XCounselor
3103TC0700XClinical Psychologist0810007659VA

General Provider Information

NPI Number : 1669794616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE ANN OLSON PHD
Provider Business Mailing Address
First Line : 1515 TRUEMPER ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78236-5583
Country : US
Telephone Number : 210-292-1602
Fax Number :
Provider Business Practice Location Address
First Line : 1515 TRUEMPER ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78236-5583
Country : US
Telephone Number : 210-292-1602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2010
Last Update Date : 04/23/2022

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