Provider Demographics
NPI:1548582042
Name:OLSON, LAURA ELIZABETH (MED)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ELIZABETH
Last Name:OLSON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5265 N ACADEMY BLVD STE 1800
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-4061
Mailing Address - Country:US
Mailing Address - Phone:719-571-9950
Mailing Address - Fax:719-635-9946
Practice Address - Street 1:5265 N ACADEMY BLVD STE 1800
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-4061
Practice Address - Country:US
Practice Address - Phone:719-571-9950
Practice Address - Fax:719-635-9946
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health