Otto, Emory L

Otto, Emory L is an sole proprietor health care provider with primary practice located at 433 S Kinzer Ave , New Holland PA 17557-8736. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Otto, Emory L can be contacted via phone (717) 581-3976.

Contact Information

Primary practice address
433 S Kinzer Ave New Holland PA 17557-8736
Phone: (717) 581-3976
Fax: (717) 509-5410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X PS005174L Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS005174L Pennsylvania

Profile Details

NPI number 1396793634
LBN Legal business name Otto, Emory L
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Mar 5th, 2019 - about 5 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 1396793634 NPPES
Pennsylvania Other 180496 VALUE OPTIONS
Pennsylvania Other 45733215 VALUE OPTIONS
Pennsylvania Other 166182 VALUE OPTIONS
Pennsylvania Other OT582253 VALUE OPTIONS
Pennsylvania Other 02792700 VALUE OPTIONS
Pennsylvania MEDICAID 1697570 VALUE OPTIONS
Pennsylvania Other 227252000 VALUE OPTIONS
Pennsylvania Other 4478017 VALUE OPTIONS

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