NPI Profile for ALI A MAHAMAT in ELKHART, IN.
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 |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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ALI A MAHAMAT
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