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NPI Code Detail

MEDICARE: TIMOTHY DEAN HANDY M.S.W.

MEDICARE: TIMOTHY DEAN HANDY M.S.W.
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
11041C0700XClinical Social Worker6801085849MI

General Provider Information

NPI Number : 1447333034
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY DEAN HANDY M.S.W.
Provider Business Mailing Address
First Line : 508 N HAWLEY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43607-4476
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 508 N HAWLEY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43607-4476
Country : US
Telephone Number : 734-469-7100
Fax Number : 734-769-7416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 05/02/2022

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