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General NPI Number Information
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NPI Number | 1023707452
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Entity Type | Organization
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Legal Business Name | ALTER PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 1500 N HALSTED ST STE 200
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City | CHICAGO
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State | IL
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Zip | 60642-7031
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Country | US
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Telephone | 773-217-0340
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Fax |
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Provider Business Mailing Address
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Address Line | 1903 W IRVING PARK RD APT 3
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City | CHICAGO
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State | IL
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Zip | 60613-2885
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND OWNER
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Name | DR. CAROLYN ALTER
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Credential | PSYD
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Telephone | 248-310-8093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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