Individual
AIDAN ALTENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
32 CIRCLE DRIVE-DGS COMPLEX ANNEX, BEECHMONT BUILDING, HARRISBURG, PA 17105-2675
(717) 705-8151
(717) 705-8165
Mailing address
32 CIRCLE DRIVE-DGS COMPLEX ANNEX, BEECHMONT BUILDING, HARRISBURG, PA 17105-2675
(717) 705-8151
(717) 705-8165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003528L
PA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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