Provider Demographics
NPI:1013115724
Name:OLSON, CHRISANA BLUESKY (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISANA
Middle Name:BLUESKY
Last Name:OLSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 GREENBRIAR BLVD
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-7072
Mailing Address - Country:US
Mailing Address - Phone:720-633-4794
Mailing Address - Fax:
Practice Address - Street 1:GOLDEN VA CLINIC
Practice Address - Street 2:1020 JOHNSON ROAD
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401
Practice Address - Country:US
Practice Address - Phone:720-723-5159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5797951-2504103TC0700X
CO3489103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical