Provider Demographics
NPI:1770745697
Name:HANDY, BRIAN PAUL (PHD)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:PAUL
Last Name:HANDY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7663 N BLACKSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4306
Mailing Address - Country:US
Mailing Address - Phone:559-432-2172
Mailing Address - Fax:
Practice Address - Street 1:7663 N BLACKSTONE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-4306
Practice Address - Country:US
Practice Address - Phone:559-432-2172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA6088237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA877-737-7776OtherBLUE CROSS OF CALIFORNIA
CA800-334-5847OtherBLUE SHIELD OF CALIFORNIA