Emory L Otto is a Health Service in Lititz, Pennsylvania. Emory L Otto practices all healthcare services and medical treatments related to Health Service. The NPI Number for Emory L Otto is 1396793634. The last update date is 2019-03-05.
Emory L Otto's current location address is 1001 E Oregon Rd, Lititz, Pennsylvania. You can contact this provider via phone number 7175813976 and fax number 7175095410. The mailing address for Emory L Otto is 1001 E Oregon Rd, Lititz, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Emory L Otto |
|---|---|
| Address | 1001 E Oregon Rd, Lititz, Pennsylvania |
| Phone Number | 7175813976 |
| Fax Number | 7175095410 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1396793634 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2019-03-05 |
Provider Mailing Address Detail
| Address | 1001 E Oregon Rd |
|---|---|
| City | Lititz |
| State | Pennsylvania (PA) |
| Post Code | 175439205 |
| Phone Number | 7175813976 |
| Fax Number | 7175095410 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | PS005174L |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 180496 | PA | VALUE OPTIONS | |
| 45733215 | PA | UNITED BEHAVIORAL HEALTH | |
| 166182 | PA | HIGHMARK PERSONAL CHOICE | |
| OT582253 | PA | BLUE SHIELD | |
| 2792700 | PA | CAPITAL BLUE CROSS | |
| 1697570 | PA | -- | |
| 227252000 | PA | MAGELLAN | |
| 4478017 | PA | AETNA |
Post Comment/ Review Below
What is the unique identification code assigned to Emory L Otto by the Centers for Medicare & Medicaid Services?
The Emory L Otto has been issued the NPI (National Provider Identifier) 1396793634. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Emory L Otto?
The Emory L Otto is physically situated at 1001 E Oregon Rd, in the city of Lititz, state of PA, with the postal code 175439205.
What is Emory L Otto's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Emory L Otto's specialized field of practice is Health Service, and the corresponding taxonomy code that categorizes this area of specialization is 103Th0100X.
On what date did the Emory L Otto receive its 1396793634 assignment from the Centers for Medicare & Medicaid Services?
The Emory L Otto was assigned its 1396793634 by the Centers for Medicare & Medicaid Services on 2006-05-05.
When was the information pertaining to Emory L Otto most recently updated or revised?
The details related to Emory L Otto, including its address, specialty, and other relevant information, were last updated or revised on 2019-03-05.
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