Individual
DR. MARIA LISA OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6332 S JACKSON ST, CENTENNIAL, CO 80121-3646
(843) 441-4128
Mailing address
6332 S JACKSON ST, CENTENNIAL, CO 80121-3646
(843) 441-4128
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3064
CO
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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