Provider Demographics
NPI:1407123516
Name:HANDLER, LAURA P (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:P
Last Name:HANDLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:B
Other - Last Name:PENDLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:500 OLD LYNCHBURG RD.
Mailing Address - Street 2:REGION TEN CSB
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903
Mailing Address - Country:US
Mailing Address - Phone:434-972-1773
Mailing Address - Fax:434-293-6781
Practice Address - Street 1:500 OLD LYNCHBURG RD.
Practice Address - Street 2:REGION TEN CSB
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903
Practice Address - Country:US
Practice Address - Phone:434-972-1773
Practice Address - Fax:434-293-6781
Is Sole Proprietor?:No
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101005071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health