Provider Demographics
NPI:1720181175
Name:HANDELSMAN, DENISE LYNN (DO)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:LYNN
Last Name:HANDELSMAN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:780 W GRAND RIVER AVE
Mailing Address - Street 2:BRIGHTON PSYCHIATRIC CONSULTANTS, PLLC
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-2392
Mailing Address - Country:US
Mailing Address - Phone:810-494-7189
Mailing Address - Fax:810-494-7126
Practice Address - Street 1:780 W GRAND RIVER AVE
Practice Address - Street 2:BRIGHTON PSYCHIATRIC CONSULTANTS, PLLC
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-2392
Practice Address - Country:US
Practice Address - Phone:810-494-7189
Practice Address - Fax:810-494-7126
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI51010153022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MII66758Medicare UPIN