Individual
MISS JORDAN OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ED.S
Contact information
Practice address
1405 BRENTWOOD PKWY NE, WASHINGTON, DC 20002-2220
(202) 678-2527
Mailing address
416B NICHOLSON ST, CHARLOTTESVILLE, VA 22901-3778
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
DC5894675568
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2021
Last updated
05/30/2024
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