Healthcare Provider Details

I. General information

NPI: 1740325786
Provider Name (Legal Business Name): JOHN S HAND PHD PC & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N WEST AVE STE 812
JACKSON MI
49202-2180
US

IV. Provider business mailing address

1200 N WEST AVE STE 812
JACKSON MI
49202-2180
US

V. Phone/Fax

Practice location:
  • Phone: 517-783-4418
  • Fax: 517-783-4504
Mailing address:
  • Phone: 517-783-4418
  • Fax: 517-783-4504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN STEVEN HAND
Title or Position: LICENSED PSYCHOLOGIST
Credential: PH.D.
Phone: 517-783-4418