Ott, Summer D.

Ott, Summer D. is an individual health care provider with primary practice located at 6400 Fannin St Suite 1620, Houston TX 77030-2761. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Ott, Summer D. can be contacted via phone (713) 704-9647.

Contact Information

Primary practice address
6400 Fannin St Suite 1620 Houston TX 77030-2761
Phone: (713) 704-9647
Fax: (713) 704-0991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 33628 Texas

Profile Details

NPI number 1043406655
LBN Legal business name Ott, Summer D.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated May 9th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043406655 NPPES
Texas Other 1043406655 BLUE CROSS BLUE SHIELD
Texas MEDICAID 192738601 BLUE CROSS BLUE SHIELD
Texas Other 87447A BLUE CROSS BLUE SHIELD
Texas MEDICAID 192738602 BLUE CROSS BLUE SHIELD

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