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Contact Information

MAXA OTT
595 E COLORADO BLVD
SUITE 504
PASADENA, CA91101
 Phone: 626-449-3045
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychoanalyst

102L00000X
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for MAXA OTT · (Female)

NPI # 1801116520
Status Active
Credentials
Entity Individual
Enumeration date 06/03/2010
Last updated 06/03/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # MFC32747
  • CA License # MFC34727
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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