Provider Demographics
NPI:1336311273
Name:OLSON, RONALD (MS)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:OLSON
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6510
Mailing Address - Street 2:F736
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-0510
Mailing Address - Country:US
Mailing Address - Phone:720-848-2800
Mailing Address - Fax:720-848-2857
Practice Address - Street 1:1635 URSULA ST
Practice Address - Street 2:6200
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2541
Practice Address - Country:US
Practice Address - Phone:720-848-2800
Practice Address - Fax:720-848-2857
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO326231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist