Karl I Altman, PH D
Individual provider Active NPI Clinical Psychologist · Lawrence, KS
NPI 1114014388 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114014388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- LP 0290 (KS)
- Practice address
- 1711 Massachusetts St
Lawrence, KS 66044-4257 - Phone
- (785) 331-4100
- Fax
- (785) 842-6007
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290 | KS | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP 0290 | KS | Yes |
Addresses
Primary practice location
1711 Massachusetts St
Lawrence, KS 66044-4257
Mailing address
1711 Massachusetts St
Lawrence, KS 66044-4257
Phone (785) 331-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066807 | Other | KS | BC OF KC |
Other providers in Lawrence, KS
- Jessica Lynn Allison
- Amalia Almeida
- Alpha Recovery Center, LLC
- Tasbeeh Maher Althalathini
- Altman & Haavik PA
- Libby Jean Alvarez
- Lina Alzein
- Lisa Marie Ambrosek
- Americare at Monterey Village Assited Living LLC
- Stephanie A Ammann
All providers in Lawrence, KS · Clinical Psychologist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.