Provider Demographics
NPI:1285993386
Name:OLBINSKI, KATIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:
Last Name:OLBINSKI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E WALNUT ST
Mailing Address - Street 2:SUITE 706
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54301-4239
Mailing Address - Country:US
Mailing Address - Phone:920-437-8256
Mailing Address - Fax:
Practice Address - Street 1:130 E WALNUT ST
Practice Address - Street 2:BELLIN BUILDING, 7TH FLOOR
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-4239
Practice Address - Country:US
Practice Address - Phone:920-437-8256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2895-057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical