Provider Demographics
NPI:1639278955
Name:ALTMAN, JANET H (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:H
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:H
Other - Last Name:ALTMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:88 SYCAMORE AVE.
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HTS.
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1516
Mailing Address - Country:US
Mailing Address - Phone:908-464-5084
Mailing Address - Fax:
Practice Address - Street 1:245 UNION AVE
Practice Address - Street 2:1B
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3064
Practice Address - Country:US
Practice Address - Phone:908-725-3666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI01004103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ074180Medicare ID - Type Unspecified