Provider Demographics
NPI:1780008425
Name:OLSEN, DANIEL H (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:H
Last Name:OLSEN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8266 ATLEE ROAD
Mailing Address - Street 2:MOB II STE 330
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116
Mailing Address - Country:US
Mailing Address - Phone:804-325-8720
Mailing Address - Fax:
Practice Address - Street 1:8266 ATLEE ROAD
Practice Address - Street 2:MOB II STE 330
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116
Practice Address - Country:US
Practice Address - Phone:804-325-8720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2664103G00000X
FLPY10480103G00000X
VA0810007683103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist