MEDICARE: MR. BRIAN PAUL HANDY PH.D.

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
1	237700000X	Hearing Instrument Specialist	HA6088	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	877-737-7776	OTHER	CA	BLUE CROSS OF CALIFORNIA
2	800-334-5847	OTHER	CA	BLUE SHIELD OF CALIFORNIA

General Provider Information

NPI Number	:	1770745697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN PAUL HANDY PH.D.

Provider Business Mailing Address
First Line	:	7663 N BLACKSTONE AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-4306
Country	:	US
Telephone Number	:	559-432-2172
Fax Number	:

Provider Business Practice Location Address
First Line	:	7663 N BLACKSTONE AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-4306
Country	:	US
Telephone Number	:	559-432-2172
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	10/16/2013

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