MEDICARE: MS. JANET LOUISE OTTMANN LMHC

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
1	101YM0800X	Mental Health Counselor	001230	NY

General Provider Information

NPI Number	:	1659591501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET LOUISE OTTMANN LMHC

Provider Business Mailing Address
First Line	:	11 S FERRIS ST
Second Line	:
City	:	IRVINGTON
State	:	NY
Zip	:	10533-1713
Country	:	US
Telephone Number	:	914-591-0752
Fax Number	:	914-591-0754

Provider Business Practice Location Address
First Line	:	60 E 42ND ST
Second Line	:	SUITE 610
City	:	NEW YORK
State	:	NY
Zip	:	10165-0006
Country	:	US
Telephone Number	:	212-983-5740
Fax Number	:	914-591-0752

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/08/2007

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