Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Walter (Rusty) Wallace Otto, PHD

Individual provider Psychologist · NPI 1649682469

Walter (Rusty) Wallace Otto, PHD is a Psychologist in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1970 University Park Dr
Sacramento, CA 95825
Phone: (916) 804-5087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY12396 (CA)

Record details

NPI number1649682469
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMay 28, 2014
Last updated in NPPESMay 28, 2014

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