Individual provider · Type 1 NPI
Ali A. Mahamat, MASTER OF PSYCHOLOGY
Intellectual & Developmental Disabilities Psychologist · Elkhart, IN
NPI number
1033943469
Active
Practice location
236 Simpson Ave
Elkhart, IN 46516-4666
Mailing address
1727 Rerick St
South Bend, IN 46635-2029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Exercise & Sports Psychologist | 103TE1100X | None listed |
| Health Service Psychologist | 103TH0100X | AN |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | NA |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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About NPI 1033943469
Ali A. Mahamat, MASTER OF PSYCHOLOGY's National Provider Identifier is 1033943469, issued on Aug 28, 2024. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Elkhart, IN. The record was last updated on Aug 28, 2024.