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NPI Code Detail

MEDICARE: SUMMER ELLIOTT-OTT

MEDICARE: SUMMER ELLIOTT-OTT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist073101IA

General Provider Information

NPI Number : 1134530587
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER ELLIOTT-OTT
Provider Business Mailing Address
First Line : 3301 CEDAR HEIGHTS DR
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-6041
Country : US
Telephone Number : 319-961-8586
Fax Number :
Provider Business Practice Location Address
First Line : 3301 CEDAR HEIGHTS DR
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-6041
Country : US
Telephone Number : 319-961-8586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2014
Last Update Date : 02/25/2025

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Directions to “ SUMMER ELLIOTT-OTT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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