Provider Demographics
NPI:1528150505
Name:OLSON, MEAGAN MCCALL (LMFT)
Entity type:Individual
Prefix:MS
First Name:MEAGAN
Middle Name:MCCALL
Last Name:OLSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15612 HIGHWAY 7
Mailing Address - Street 2:STE 231
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-3543
Mailing Address - Country:US
Mailing Address - Phone:952-297-4136
Mailing Address - Fax:
Practice Address - Street 1:15612 HIGHWAY 7
Practice Address - Street 2:STE 231
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-3543
Practice Address - Country:US
Practice Address - Phone:952-297-4136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1594106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN291930300Medicaid
MNHP66802OtherHEALTHPARTNERS
MN1594Medicare UPIN