Individual
THOMAS OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
300 W FERRY ST, BERRIEN SPRINGS, MI 49103-1109
(269) 815-5331
Mailing address
300 W FERRY ST, BERRIEN SPRINGS, MI 49103-1109
(269) 815-5331
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008124
MI
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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