Provider Demographics
NPI:1164279311
Name:OLSON, ALEXIS ELLEN (AUD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:ELLEN
Last Name:OLSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 SALTAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-6031
Mailing Address - Country:US
Mailing Address - Phone:401-585-5642
Mailing Address - Fax:
Practice Address - Street 1:360 KINGSTOWN RD UNIT 206
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3258
Practice Address - Country:US
Practice Address - Phone:401-789-1906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist