The holder whose full name is Mattar, Alan Thomas,come from INDIANAPOLIS IN,hold the Psychologist - Health Service Provider license(NO.20040845A) which status is Revoked.
| Name | Mattar, Alan Thomas |
|---|---|
| License Number | 20040845A |
| License Type | Psychologist - Health Service Provider |
| License Status | Revoked |
| City | INDIANAPOLIS |
| State | IN |