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General NPI Number Information
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NPI Number | 1336633452
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Entity Type | Organization
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Legal Business Name | KATE ALTMAN PSYD LLC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 923 FAYETTE ST
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-1531
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Country | US
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Telephone | 215-266-1142
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Fax |
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Provider Business Mailing Address
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Address Line | 255 E NORTH LN
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2215
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Country | US
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Telephone | 215-266-1142
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. KATE ALTMAN
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Credential | PSYD
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Telephone | 215-266-1142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PS017860
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License Number State | PA
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