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Individual

HOWARD M. OTTENHEIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
411 SAINT MICHAELS DR, SUITE, 8, SANTA FE, NM 87505-7655
(505) 989-3639
Mailing address
6528 BARRANCA DR, COCHITI LAKE, NM 87083-6009
(505) 989-3639

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
672
NM

Other

Enumeration date
10/03/2006
Last updated
10/25/2008
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