WALTER (RUSTY) WALLACE OTTO PHD
NPI 1649682469
Psychologist in Sacramento, CA
About Walter (rusty) Wallace Otto Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALTER (RUSTY) WALLACE OTTO PHD (NPI 1649682469) is an individual psychologist in Sacramento, California, licensed in California (PSY12396) and active in the NPI registry since May 2014.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Walter (rusty) Otto's NPI number?
The NPI number for Walter (rusty) Otto is 1649682469. It was assigned to this individual provider in the NPPES registry on May 28, 2014.
Where is Walter (rusty) Otto located?
Walter (rusty) Otto practices at 1970 University Park Drive, Sacramento, CA 95825. The listed phone number is (916) 804-5087.
What is Walter (rusty) Otto's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for Walter (rusty) Otto was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.