Individual
DR. PEGGY JEAN OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
4716 ELLSWORTH AVE, STE 102 CATHEDRAL MANSIONS, PITTSBURGH, PA 15213
(412) 621-9979
(412) 621-9573
Mailing address
4716 ELLSWORTH AVE, STE 102 CATHEDRAL MANSIONS, PITTSBURGH, PA 15213
(412) 621-9979
(412) 621-9573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004922L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
597989
HIGHMARK BLUE CROSS BLUE
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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