Provider Demographics
NPI:1093968877
Name:ALTERMAN, ROBERT M (LCDC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:M
Last Name:ALTERMAN
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 HARROUN AVE
Mailing Address - Street 2:STE F
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3432
Mailing Address - Country:US
Mailing Address - Phone:972-548-0209
Mailing Address - Fax:972-548-0306
Practice Address - Street 1:1505 HARROUN AVE
Practice Address - Street 2:STE F
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3432
Practice Address - Country:US
Practice Address - Phone:972-548-0209
Practice Address - Fax:972-548-0306
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6388101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)