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Contact Information

ALI A MAHAMAT, MASTER OF PSYCHOLOGY
236 SIMPSON AVE
ELKHART, IN46516-4666
 Phone: 574-293-3786
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ALI A MAHAMAT · (Male)

NPI # 1033943469
Status Active
Credentials MASTER OF PSYCHOLOGY
Entity Individual
Enumeration date 08/28/2024
Last updated 08/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • License # AN
  • License # NA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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