Individual
DR. KERRY PAUL ALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3923 OLD LEE HWY, SUITE 63 D, FAIRFAX, VA 22030-2428
(703) 691-1571
(703) 691-2103
Mailing address
3923 OLD LEE HWY, SUITE 63 D, FAIRFAX, VA 22030-2428
(703) 691-1571
(703) 691-2103
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001460
VA
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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