Provider Demographics
NPI:1346063682
Name:ALTMAN, ALLISON (PHD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:ALTMAN
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 ILLINOIS ST FL 6
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2518
Mailing Address - Country:US
Mailing Address - Phone:415-353-7475
Mailing Address - Fax:
Practice Address - Street 1:499 ILLINOIS ST FL 6
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2518
Practice Address - Country:US
Practice Address - Phone:415-353-7475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35040103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical