Individual
DIANE M OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
3117 WASHINGTON PIKE, SUITE 200, BRIDGEVILLE, PA 15017-1434
(412) 221-1091
(412) 221-2939
Mailing address
3117 WASHINGTON PIKE, SUITE 200, BRIDGEVILLE, PA 15017-1434
(412) 221-1091
(412) 221-2939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004281
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC004281
PA LICENSE
PA
Enumeration date
03/23/2009
Last updated
03/23/2009
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