Provider Demographics
NPI:1366656852
Name:HANDMAKER, MURIEL BETON (PHD)
Entity Type:Individual
Prefix:DR
First Name:MURIEL
Middle Name:BETON
Last Name:HANDMAKER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 MERIDIAN AVE
Mailing Address - Street 2:STE 7
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207
Mailing Address - Country:US
Mailing Address - Phone:502-893-5896
Mailing Address - Fax:502-893-5897
Practice Address - Street 1:120 MERIDIAN AVE
Practice Address - Street 2:STE 7
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-893-5896
Practice Address - Fax:502-893-5897
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY530103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist