| Micah Altman Psyd, Inc | |
|
801 E 2nd St 101 Benicia CA 94510-3347 | |
| (707) 747-9178 | |
| (707) 747-9178 |
| Full Name | Micah Altman Psyd, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 801 E 2nd St, Benicia, California |
| Authorized Official Name and Position | Micah Altman (OWNER) |
| Authorized Official Contact | 7077479178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Altman Psyd, Inc 801 E 2nd St 101 Benicia CA 94510-3347 Ph: (707) 747-9178 | Micah Altman Psyd, Inc 801 E 2nd St 101 Benicia CA 94510-3347 Ph: (707) 747-9178 |
| NPI Number | 1619242286 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619242286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY10816 (California) | Primary |
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