Provider Demographics
NPI:1649969338
Name:ALTMAN, NATHAN (MA, NCC)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:
Last Name:ALTMAN
Suffix:
Gender:M
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 STRAWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26501-7745
Mailing Address - Country:US
Mailing Address - Phone:304-993-4260
Mailing Address - Fax:
Practice Address - Street 1:425 INDUSTRIAL AVE STE 201
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-2287
Practice Address - Country:US
Practice Address - Phone:304-241-1854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health