Provider Demographics
NPI:1639351976
Name:ALTMAN, BETSY JEAN (AUD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:JEAN
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:BETSY
Other - Middle Name:ALTMAN
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA/AUD
Mailing Address - Street 1:3001 W DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6307
Mailing Address - Country:US
Mailing Address - Phone:813-870-4451
Mailing Address - Fax:813-870-4179
Practice Address - Street 1:3001 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6307
Practice Address - Country:US
Practice Address - Phone:813-870-4451
Practice Address - Fax:813-870-4179
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY 60231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist