Provider Demographics
NPI:1174650469
Name:OTT, ROBYN L (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:L
Last Name:OTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24814 MILLERS LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-7894
Mailing Address - Country:US
Mailing Address - Phone:281-371-8690
Mailing Address - Fax:281-371-8690
Practice Address - Street 1:24814 MILLERS LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-7894
Practice Address - Country:US
Practice Address - Phone:281-371-8690
Practice Address - Fax:281-371-8690
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical