Provider Demographics
NPI:1992945778
Name:OLSON, DARREN D (HIS)
Entity type:Individual
Prefix:MR
First Name:DARREN
Middle Name:D
Last Name:OLSON
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 465TH ST
Mailing Address - Street 2:
Mailing Address - City:HANLEY FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56245-0000
Mailing Address - Country:US
Mailing Address - Phone:507-532-2523
Mailing Address - Fax:507-768-3606
Practice Address - Street 1:2011 465TH ST
Practice Address - Street 2:
Practice Address - City:HANLEY FALLS
Practice Address - State:MN
Practice Address - Zip Code:56245-0000
Practice Address - Country:US
Practice Address - Phone:507-532-2523
Practice Address - Fax:507-768-3606
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2592237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist