Provider Demographics
NPI:1558635839
Name:OTT, JAMIE ELIZABETH (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ELIZABETH
Last Name:OTT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:640 WALNUT ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3504
Mailing Address - Country:US
Mailing Address - Phone:610-208-8860
Mailing Address - Fax:610-208-8861
Practice Address - Street 1:640 WALNUT ST
Practice Address - Street 2:SUITE 303
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3504
Practice Address - Country:US
Practice Address - Phone:610-208-8860
Practice Address - Fax:610-208-8861
Is Sole Proprietor?:No
Enumeration Date:2012-03-03
Last Update Date:2014-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPC007916101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional