1588097448 NPI number — MRS. AMANDA MISHEA OLSON MAS-MFT, LAMFT

Table of content: MRS. AMANDA MISHEA OLSON MAS-MFT, LAMFT (NPI 1588097448)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588097448 NPI number — MRS. AMANDA MISHEA OLSON MAS-MFT, LAMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OLSON
Provider First Name:
AMANDA
Provider Middle Name:
MISHEA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MAS-MFT, LAMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588097448
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/14/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6100 W GILA SPRINGS PL
Provider Second Line Business Mailing Address:
STE. 19
Provider Business Mailing Address City Name:
CHANDLER
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85226-3491
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-282-8778
Provider Business Mailing Address Fax Number:
480-636-1602

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6100 W GILA SPRINGS PL
Provider Second Line Business Practice Location Address:
STE. 19
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85226-3491
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-282-8778
Provider Business Practice Location Address Fax Number:
480-636-1602
Provider Enumeration Date:
08/14/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  LAMFT-10356 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com