Organization
J. OTTO CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAQUI RENEE OTTO PH.D. (PSYCHOLOGIST)
(817) 492-5105
Entity
Organization
Contact information
Practice address
111 QUEST CT, KELLER, TX 76248-3748
(817) 492-5105
Mailing address
111 QUEST CT, KELLER, TX 76248-3748
(817) 492-5105
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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