| Doctor Name: | MARY ANN ALTENBERND |
| NPI Number: | 1104123553 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2105 |
| Business Practice Address: | 8900 State Line Rd Suite435 Leawood, KS - 662061960 |
| Business Phone Number: | 9139077911 |
| Business Fax Number: | 9132210152 |
| Mailing Address: | 8900 State Line Rd, Suite435 LEAWOOD |
| State: | KS |
| Postal Code: | 662061960 |
| Phone Number: | 9139077911 |
| Fax Number: | 9132210152 |
| NPI Enumeration Date: | 02/22/2011 |
| NPI Last Update Date: | 02/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2105 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |