Provider Demographics
NPI:1831244433
Name:OLSON, BRUCE ARTHUR (PHD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ARTHUR
Last Name:OLSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18532 FIRLANDS WAY NORTH
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3986
Mailing Address - Country:US
Mailing Address - Phone:206-542-7516
Mailing Address - Fax:206-542-7517
Practice Address - Street 1:18532 FIRLANDS WAY NORTH
Practice Address - Street 2:SUITE A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-3986
Practice Address - Country:US
Practice Address - Phone:206-542-7516
Practice Address - Fax:206-542-7517
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA889103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic