Provider Demographics
NPI:1659591501
Name:OTTMANN, JANET LOUISE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:LOUISE
Last Name:OTTMANN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:L
Other - Last Name:OTTMANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11 S FERRIS ST
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1713
Mailing Address - Country:US
Mailing Address - Phone:914-591-0752
Mailing Address - Fax:914-591-0754
Practice Address - Street 1:60 E 42ND ST
Practice Address - Street 2:SUITE 610
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10165-0006
Practice Address - Country:US
Practice Address - Phone:212-983-5740
Practice Address - Fax:914-591-0752
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001230101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health