Doctor Name: | DR. AMY L ALTENHAUS |
NPI Number: | 1063564581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | 1479 |
Business Practice Address: | 80 E Main St Freehold, NJ - 077282223 |
Business Phone Number: | 7327806644 |
Business Fax Number: | 7328451184 |
Mailing Address: | 80 E Main St, FREEHOLD |
State: | NJ |
Postal Code: | 077282223 |
Phone Number: | 7327806644 |
Fax Number: | 7328451184 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1479 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |