Individual
DR. JOHN DONALD OTIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
64 HIGH ROCK TER, CHESTNUT HILL, MA 02467-2654
(617) 233-2625
Mailing address
64 HIGH ROCK TER, CHESTNUT HILL, MA 02467-2654
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8507
MA
Other
Enumeration date
09/13/2006
Last updated
12/21/2023
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