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Individual
DR. NANCY KAY OTTERNESS
Active
Individual
DR. NANCY KAY OTTERNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD CLINICAL PSYCHOL
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
12125
CA
104100000X
Social Worker
2418
CA
106H00000X
Marriage & Family Therapist
13850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY121250
—
CA
Enumeration date
08/06/2007
Last updated
10/13/2011
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