Individual provider · Type 1 NPI

Travis Lewellen Otto, PSY.D.

Clinical Psychologist · Tampa, FL

NPI number 1093065955 Active

Practice location

2505 Crowder Ln
Tampa, FL 33629-6253

Mailing address

6225 Willet Ct
Lakewood Ranch, FL 34202-8224

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY8595 (FL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1093065955

Travis Lewellen Otto, PSY.D.'s National Provider Identifier is 1093065955, issued on Sep 18, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Tampa, FL. The record was last updated on Sep 16, 2014.