Provider Demographics
NPI:1003100439
Name:HANDS, DONALD RAYMOND (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:RAYMOND
Last Name:HANDS
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 1:6500 N ELM TREE RD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4042
Mailing Address - Country:US
Mailing Address - Phone:262-617-8574
Mailing Address - Fax:
Practice Address - Street 1:6500 N ELM TREE RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-4042
Practice Address - Country:US
Practice Address - Phone:262-617-8574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1348103TC1900X
GA3450103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily