Provider Demographics
NPI:1356328876
Name:ALTMAN, JOSEPH (MED, LPC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:ALTMAN
Suffix:
Gender:M
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 S MARKET ST
Mailing Address - Street 2:LIGONIER VALLEY LEARNING CENTER
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658-1214
Mailing Address - Country:US
Mailing Address - Phone:724-238-0355
Mailing Address - Fax:724-238-0352
Practice Address - Street 1:117 JUNIPER LN
Practice Address - Street 2:LIGONIER VALLEY LEARNING CENTER
Practice Address - City:LIGONIER
Practice Address - State:PA
Practice Address - Zip Code:15658-9727
Practice Address - Country:US
Practice Address - Phone:724-238-5556
Practice Address - Fax:724-238-9533
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPC000962101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1001348580007Medicaid