Doctor Name: | DR. NANCY HANDMAKER |
NPI Number: | 1043378771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 718 |
Business Practice Address: | 3949 Corrales Road Suite 240 Corrales, NM - 87048 |
Business Phone Number: | 5058977755 |
Business Fax Number: | 5058977799 |
Mailing Address: | 3949 Corrales Rd, Suite 240 CORRALES |
State: | NM |
Postal Code: | 870489348 |
Phone Number: | 5058977755 |
Fax Number: | 5058977799 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 01/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | 718 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |