Olsen, Roger

Olsen, Roger is an individual health care provider with primary practice located at 4660 Slater Rd Suite 210, Eagan MN 55122-4047. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Olsen, Roger can be contacted via phone (651) 882-6299.

Contact Information

Primary practice address
4660 Slater Rd Suite 210 Eagan MN 55122-4047
Phone: (651) 882-6299
Fax: (651) 683-0057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1043347131
LBN Legal business name Olsen, Roger
Credentials LP, PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Sep 12th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043347131 NPPES
Minnesota MEDICAID 084673200

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