Jean Otto is a Clinical in Long Beach, California. Jean Otto practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jean Otto is 1871716068. The last update date is 2007-07-08.
Jean Otto's current location address is 4201 Long Beach Blvd, Long Beach, California. You can contact this provider via phone number 5629881000 and fax number 5624265211. The mailing address for Jean Otto is 4201 Long Beach Blvd, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Otto |
|---|---|
| Address | 4201 Long Beach Blvd, Long Beach, California |
| Phone Number | 5629881000 |
| Fax Number | 5624265211 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1871716068 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4201 Long Beach Blvd |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908072007 |
| Phone Number | 5629881000 |
| Fax Number | 5624265211 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY15864 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Jean Otto?
The Jean Otto has been issued the NPI (National Provider Identifier) 1871716068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jean Otto?
The Jean Otto is physically situated at 4201 Long Beach Blvd, in the city of Long Beach, state of CA, with the postal code 908072007.
What is Jean Otto's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jean Otto is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When was the Jean Otto's 1871716068 issued?
The Jean Otto's 1871716068 was issued on 2007-04-10.
When was the Jean Otto's information last updated?
The Jean Otto's information was last updated on 2007-07-08.
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