Organization
OTTESON ASSOCIATES, INC.
Active
Organization
OTTESON ASSOCIATES, INC.
Active
Other names
The Mill Street House
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PAUL OTTESON PH.D., LP (LICENSED PSYCHOLOGIST)
(507) 446-0002
Entity
Organization
Contact information
Practice address
209 E MILL ST, OWATONNA, MN 55060-3008
(507) 446-0002
(507) 451-8003
Mailing address
209 E MILL ST, OWATONNA, MN 55060-3008
(507) 446-0002
(507) 451-8003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4284
MN
103TF0200X
Forensic Psychologist
LP4284
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048L7OT
BCBS
MN
Enumeration date
12/21/2006
Last updated
10/23/2007
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