TRAVIS LEWELLEN OTTO

TAMPA, FL
NPI1093065955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: FL  PY8595)
Enumeration Date2012-09-18
Last Update Date2014-09-16
Business Address
Mr. TRAVIS LEWELLEN OTTO Psy.D.
2505 CROWDER LN
TAMPA, FL 33629-6253
Phone number: 813-361-4809
Mailing Address
Mr. TRAVIS LEWELLEN OTTO Psy.D.
6225 WILLET CT
LAKEWOOD RANCH, FL 34202-8224
Phone number: 813-361-4809