Roger Olsen
Clinical Child & Adolescent Psychologist
4660 Slater Rd Suite 210
Eagan
, Minnesota 55122-4047
Roger Olsen
Clinical Child & Adolescent Psychologist
4660 Slater Rd Suite 210
Eagan
, Minnesota 55122-4047
(651) 683-0057
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Roger Olsen
- 4660 Slater Rd Suite 210
- Eagan, MN
- Zip : 55122-4047
- Fax : (651) 683-0057
- Phone : (651) 882-6299
Second Address
- Roger Olsen
- 4660 Slater Rd Suite 210
- Eagan, MN
- Zip : 55122-4047
- Fax : (651) 683-0057
- Phone : (651) 882-6299
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
National Provider Identifier
| NPI | 1043347131 |
|---|---|
| Provider Name | Roger Olsen |
| First Address | Eagan, MN 55122-4047 |
| Second Address | Eagan, MN 55122-4047 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2007 |
| Last Update Date | 12/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 084673200 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.