Ott, Madelyn

Ott, Madelyn is an sole proprietor health care provider with primary practice located at 1328 2Nd St , Santa Monica CA 90401-1122. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ott, Madelyn can be contacted via phone (310) 394-6889.

Contact Information

Primary practice address
1328 2Nd St Santa Monica CA 90401-1122
Phone: (310) 394-6889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 102331 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 122075 California
Behavioral Health & Social Service Providers / Social Worker 104100000X 102331 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 122075 California

Profile Details

NPI number 1922612761
LBN Legal business name Ott, Madelyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2020
Last updated May 7th, 2024 - about 2 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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