Provider Demographics
NPI:1528154382
Name:OLSON SPEECH AND LANGUAGE P.C.
Entity type:Organization
Organization Name:OLSON SPEECH AND LANGUAGE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:G
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:210-857-7757
Mailing Address - Street 1:1919 OAKWELL FARMS PKWY
Mailing Address - Street 2:STE 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-1726
Mailing Address - Country:US
Mailing Address - Phone:210-857-7757
Mailing Address - Fax:210-821-3727
Practice Address - Street 1:1919 OAKWELL FARMS PKWY
Practice Address - Street 2:STE 110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-1726
Practice Address - Country:US
Practice Address - Phone:210-857-7757
Practice Address - Fax:210-821-3727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty