Individual
MR. MICHAEL JOHN OTTERSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
115 TOWN AND COUNTRY DR STE A, DANVILLE, CA 94526-3960
(925) 837-0505
(925) 837-0568
Mailing address
781 STALLION CIR, FAIRFIELD, CA 94533-7719
(707) 426-1788
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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