Olsson, Lisa R.

Olsson, Lisa R. is an individual health care provider with primary practice located at 1200 12Th Ave S , Seattle WA 98144-2712. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Olsson, Lisa R. can be contacted via phone (206) 326-2400.

Contact Information

Primary practice address
1200 12Th Ave S Seattle WA 98144-2712
Phone: (206) 326-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00002477 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00002477 Washington

Profile Details

NPI number 1760471296
LBN Legal business name Olsson, Lisa R.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jun 22nd, 2021 - about 5 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 1760471296 NPPES
Washington MEDICAID 8327884

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