John A Otallah, ED. S.

NPI #1790065779 in Culpeper, Virginia

Provider Information

NPI Number: 1790065779
Entity Type: Individual
Name: John A Otallah, ED. S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: ED. S.
Enumeration Date: Aug 23, 2011
Last Updated: Aug 23, 2011

Practice Location

Address: 14115 LOVERS LN
Address 2: SUITE 56
City: Culpeper
State: Virginia
ZIP Code: 22701-4157
Phone: (540) 308-3857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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