Individual
DR. JOHN H OTZENBERGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
10508 PARK RD, SUITE 130, CHARLOTTE, NC 28210-8405
(704) 541-9080
Mailing address
5100 LANSING DR, CHARLOTTE, NC 28270-6030
(704) 719-3974
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3099
NC
Other
Enumeration date
04/09/2006
Last updated
07/08/2007
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