Randall Lee Otto, PHD

Psychologist · Braintree, MA

Individual Active NPI

NPI number 1629174784

Practice location

250 Pond St
Braintree, MA 02184-5351
Phone
(781) 348-3904
Fax
(781) 848-1245

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NPI record

NPI
1629174784
Entity type
Individual (Type 1)
Enumeration date
September 16, 2006
Last updated
July 14, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 6165 MA

About Dr. Otto

Randall Lee Otto, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 250 Pond St, Braintree, MA 02184-5351. The NPI number 1629174784 was assigned on September 16, 2006 and the record was last updated on July 14, 2010.

Dr. Otto lists a license in the registry: #6165 (MA) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randall Lee Otto, PHD?

The NPI number is 1629174784.

What is the phone number of Dr. Otto?

The phone number listed for the practice location is (781) 348-3904.

Where is Dr. Otto located?

250 Pond St, Braintree, MA 02184-5351.

What is the taxonomy code for Dr. Otto?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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