Provider Demographics
NPI:1891307518
Name:HANDAL, KRISTEN BRIANNA (DOCTOR OF AUDIOLOGY)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:BRIANNA
Last Name:HANDAL
Suffix:
Gender:F
Credentials:DOCTOR OF AUDIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110A CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2150
Mailing Address - Country:US
Mailing Address - Phone:089-228-5650
Mailing Address - Fax:
Practice Address - Street 1:110A CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2150
Practice Address - Country:US
Practice Address - Phone:908-280-0618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00108500231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist