Kristopher J. Olsen, PHD

Clinical Psychologist · Melbourne, FL

Individual Active NPI

NPI number 1083764492

Practice location

6767 N Wickham Rd
Suite 306
Melbourne, FL 32940-2031
Phone
(321) 751-1925
Fax
(321) 751-9261

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NPI record

NPI
1083764492
Entity type
Individual (Type 1)
Enumeration date
January 11, 2007
Last updated
September 12, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X PY0004859 FL

About Dr. Olsen

Kristopher J. Olsen, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 6767 N Wickham Rd, Suite 306, Melbourne, FL 32940-2031. The NPI number 1083764492 was assigned on January 11, 2007 and the record was last updated on September 12, 2011.

Dr. Olsen lists a license in the registry: #PY0004859 (FL) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kristopher J. Olsen, PHD?

The NPI number is 1083764492.

What is the phone number of Dr. Olsen?

The phone number listed for the practice location is (321) 751-1925.

Where is Dr. Olsen located?

6767 N Wickham Rd, Suite 306, Melbourne, FL 32940-2031.

What is the taxonomy code for Dr. Olsen?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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