Otto Psychological Associates, Llc | |
2132 S 12th St Ste 103 Allentown PA 18103-4814 | |
(610) 762-5994 | |
Not Available |
Full Name | Otto Psychological Associates, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 2132 S 12th St Ste 103, Allentown, Pennsylvania |
Authorized Official Name and Position | Michael Paul Otto (PSYCHOTHERAPIST / OWNER) |
Authorized Official Contact | 6107625994 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Otto Psychological Associates, Llc 930 Macungie Ave Emmaus PA 18049-1643 Ph: (610) 762-5994 | Otto Psychological Associates, Llc 2132 S 12th St Ste 103 Allentown PA 18103-4814 Ph: (610) 762-5994 |
NPI Number | 1235619131 |
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Provider Enumeration Date | 08/20/2018 |
Last Update Date | 09/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235619131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC005267 (Pennsylvania) | Primary |
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