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Individual

DR. MICHAEL JOHN OTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
25 N SPRUCE ST, COLORADO SPRINGS, CO 80905-1436
(719) 327-5697
Mailing address
6515 STONEHEDGE DR, COLORADO SPRINGS, CO 80918-4775
(719) 598-7832

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3058
CO
103TC0700X
Clinical Psychologist
3510
MD
103TC0700X
Clinical Psychologist
860
AL

Other

Enumeration date
02/06/2006
Last updated
07/26/2007
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