Otto, Randall Lee
Otto, Randall Lee is an sole proprietor health care provider with primary practice located at 250 Pond St , Braintree MA 02184-5351. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Otto, Randall Lee can be contacted via phone (781) 348-3904.Contact Information
Primary practice address
250 Pond St
Braintree MA 02184-5351
Phone: (781) 348-3904
Fax: (781) 848-1245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6165 | Massachusetts |
Profile Details
| NPI number | 1629174784 |
|---|---|
| LBN Legal business name | Otto, Randall Lee |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 14th, 2010 - about 14 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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