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MADELINE ALTABE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
7747 MITCHELL BLVD STE B, TRINITY, FL 34655-4725
(404) 941-6402
Mailing address
7747 MITCHELL BLVD STE B, TRINITY, FL 34655-4725
(404) 941-6402

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
PY4848
FL
103TC0700X
Clinical Psychologist
Primary
PY4848
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59354
BC/BS FLORIDA
Enumeration date
11/02/2005
Last updated
12/17/2019
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