Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PS006344L | PA |
NPI | 1164645776 |
---|---|
Provider Name | Mr. Joseph H. Altman I |
First Address | Glenshaw, PA 15116-2029 |
Second Address | Pittsburgh, PA 15237-3420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101691140 | PROMISE # CCBHO (01) | PA |
AL1762693 | HIGHMARK ACCOUNT NUMBER (01) | PA |
AL488859 | HIGHMARK ID NUMBER (01) | PA |