Individual
ALI A MAHAMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASTER OF PSYCHOLOGY
Contact information
Practice address
236 SIMPSON AVE, ELKHART, IN 46516-4666
(574) 293-3786
Mailing address
1727 RERICK ST, SOUTH BEND, IN 46635-2029
(574) 300-4333
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
—
103TH0100X
Health Service Psychologist
AN
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
NA
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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