John A Otallah, ED S - Psychologist in Culpeper, VA

John A Otallah, ED S is a Psychologist - School based in Culpeper, Virginia. John A Otallah is licensed to practice in Virginia (license number 0803000022) and his current practice location is 14115 Lovers Ln, Suite 56, Culpeper, Virginia. He can be reached at his office (for appointments etc.) via phone at (540) 308-3857.

NPI number for John A Otallah is 1790065779 and his current mailing address is 17158 Lakemont Dr, Culpeper, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790065779.

Contact Information

John A Otallah, ED S
14115 Lovers Ln, Suite 56,
Culpeper, VA 22701-4157
(540) 308-3857
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJohn A Otallah
GenderMale
SpecialityPsychologist - School
Location14115 Lovers Ln, Culpeper, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790065779
  • Provider Enumeration Date: 08/23/2011
  • Last Update Date: 08/23/2011

Medical Identifiers

Medical identifiers for John A Otallah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790065779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 0803000022 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John A Otallah is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John A Otallah, ED S
17158 Lakemont Dr,
Culpeper, VA 22701-7910

Ph: (540) 825-1462
John A Otallah, ED S
14115 Lovers Ln, Suite 56,
Culpeper, VA 22701-4157

Ph: (540) 308-3857

Reviews and Comments


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