Provider Demographics
NPI:1598440927
Name:OLSON, LINDAMARIE ELIZABETH (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:LINDAMARIE
Middle Name:ELIZABETH
Last Name:OLSON
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 PITTSBURG VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CONESTOGA
Mailing Address - State:PA
Mailing Address - Zip Code:17516-9216
Mailing Address - Country:US
Mailing Address - Phone:717-940-8273
Mailing Address - Fax:
Practice Address - Street 1:2316 9TH ST
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-4102
Practice Address - Country:US
Practice Address - Phone:717-940-8273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX676111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical