| Maria L. Ott, Psy. D., P.c. | |
|
2860 S Circle Dr 100 Colorado Springs CO 80906-4113 | |
| (719) 465-4340 | |
| Not Available |
| Full Name | Maria L. Ott, Psy. D., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2860 S Circle Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Maria Lisa Ott (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7194654340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria L. Ott, Psy. D., P.c. 6455 Bluffmont Pt Colorado Springs CO 80923-8401 Ph: (719) 465-4340 | Maria L. Ott, Psy. D., P.c. 2860 S Circle Dr 100 Colorado Springs CO 80906-4113 Ph: (719) 465-4340 |
| NPI Number | 1376933168 |
|---|---|
| Provider Enumeration Date | 01/31/2015 |
| Last Update Date | 02/23/2015 |
| Medicare PECOS PAC ID | 9537487335 |
|---|---|
| Medicare Enrollment ID | O20150407001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376933168 | NPI | - | NPPES |
| 143191 | Medicaid | CO | |
| C811047 | Other | CO | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3064 (Colorado) | Primary |
| Provider Name | Maria L Ott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295936169 PECOS PAC ID: 3779671227 Enrollment ID: I20071116000027 |
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