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NPI Code Detail

MEDICARE: GREGORY S HANDEL PHD

MEDICARE: GREGORY S HANDEL PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist4358MA

General Provider Information

NPI Number : 1184862229
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY S HANDEL PHD
Provider Business Mailing Address
First Line : 200 MAY ST
Second Line :
City : SOUTH ATTLEBORO
State : MA
Zip : 02703-5520
Country : US
Telephone Number : 508-761-8500
Fax Number : 508-838-2365
Provider Business Practice Location Address
First Line : 200 MAY ST
Second Line :
City : SOUTH ATTLEBORO
State : MA
Zip : 02703-5520
Country : US
Telephone Number : 508-761-8500
Fax Number : 508-838-2365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2009
Last Update Date : 01/28/2009

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