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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