John Otallah, ED. S

NPI 1790065779 · on the registry since 2011 · sole proprietor

Practice

Address: 14115 Lovers Ln
Suite 56
Culpeper, VA 22701
Phone: (540) 308-3857
Organisation at this address: Pederec Inc.
Family Life Counseling Llc
Pederec Supported Living Llc
Counseling Interventions, Inc.
Culpeper Medical Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 21

Registry record

Primary taxonomy: School Psychologist
103TS0200X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia