Provider Demographics
NPI:1164645776
Name:ALTMAN, JOSEPH H I (MED - LICENSED PSY)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:H
Last Name:ALTMAN
Suffix:I
Gender:M
Credentials:MED - LICENSED PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 IOLA ST
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-2029
Mailing Address - Country:US
Mailing Address - Phone:412-486-9019
Mailing Address - Fax:412-486-9019
Practice Address - Street 1:5000 MCKNIGHT RD
Practice Address - Street 2:SUITE 305
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3420
Practice Address - Country:US
Practice Address - Phone:412-486-9019
Practice Address - Fax:412-486-9019
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006344L103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAL1762693OtherHIGHMARK ACCOUNT NUMBER
PAAL488859OtherHIGHMARK ID NUMBER
PA101691140OtherPROMISE # CCBHO