MEDICARE: DR. JANET H. ALTMAN PH.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	SI01004	NJ

General Provider Information

NPI Number	:	1639278955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET H. ALTMAN PH.D

Provider Business Mailing Address
First Line	:	88 SYCAMORE AVE.
Second Line	:
City	:	BERKELEY HTS.
State	:	NJ
Zip	:	07922-1516
Country	:	US
Telephone Number	:	908-464-5084
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 UNION AVE
Second Line	:	1B
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-3064
Country	:	US
Telephone Number	:	908-725-3666
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/08/2007

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