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Individual

MAURA L. ALTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
705 RILEY HOSPITAL DR, RI 5837, INDIANAPOLIS, IN 46202-5109
(317) 944-8167
(317) 944-9760
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435
(317) 777-6644

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
20042921
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300000104
IN
Enumeration date
06/26/2015
Last updated
01/10/2024
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