Provider Demographics
NPI:1073722757
Name:HANDMAN, LARRY J (DMIN)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:J
Last Name:HANDMAN
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 GARLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4937
Mailing Address - Country:US
Mailing Address - Phone:770-823-8203
Mailing Address - Fax:770-784-3036
Practice Address - Street 1:101 KIRKLAND RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-3317
Practice Address - Country:US
Practice Address - Phone:770-784-0076
Practice Address - Fax:770-784-3036
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health