Ott, David Allen

Ott, David Allen is an individual health care provider with primary practice located at 5201 Raymond St , Orlando FL 32803-8208. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ott, David Allen can be contacted via phone (407) 629-1599.

Contact Information

Primary practice address
5201 Raymond St Orlando FL 32803-8208
Phone: (407) 629-1599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 5478 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5478 Ohio
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 5478 Ohio
Behavioral Health & Social Service Providers / Forensic 103TF0200X 5478 Ohio
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 5478 Ohio
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5478 Ohio
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PY7414 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY7414 Florida
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY7414 Florida
Behavioral Health & Social Service Providers / Forensic 103TF0200X PY7414 Florida
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X PY7414 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY7414 Florida

Profile Details

NPI number 1194777037
LBN Legal business name Ott, David Allen
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Apr 12th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194777037 NPPES
Ohio Other 000000347111 ANTHEM
Ohio MEDICAID 2287047 ANTHEM
Ohio Other 298511000 ANTHEM

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