Provider Demographics
NPI:1205074184
Name:JOSEPH H. ALTMAN, PC
Entity type:Organization
Organization Name:JOSEPH H. ALTMAN, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:H
Authorized Official - Last Name:ALTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-591-5996
Mailing Address - Street 1:5000 MCKNIGHT RD STE 305
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3436
Mailing Address - Country:US
Mailing Address - Phone:724-591-5996
Mailing Address - Fax:724-591-5996
Practice Address - Street 1:5000 MCKNIGHT RD STE 305
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3436
Practice Address - Country:US
Practice Address - Phone:724-591-5996
Practice Address - Fax:724-591-5996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS 006344-L103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101691140 0001Medicaid