NPI 1255333944 · live from the CMS NPI Registry
Kerry Paul Altman, Ph.D.
Psychologist, Clinical in Fairfax, VA. National Provider Identifier 1255333944, active.
NPI record
| NPI | 1255333944 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 3923 Old Lee Hwy, Suite 63 D, Fairfax, VA 22030 |
| Practice phone | 703-691-1571 |
| Enumerated | August 11, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 0810001460 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.