Provider Demographics
NPI:1174010029
Name:HAND, DONALD
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:HAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3646 ESSEX POND QUAY
Mailing Address - Street 2:
Mailing Address - City:VA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6947
Mailing Address - Country:US
Mailing Address - Phone:757-227-2432
Mailing Address - Fax:
Practice Address - Street 1:5163 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:VA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6501
Practice Address - Country:US
Practice Address - Phone:757-497-4703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-17
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty