Provider Demographics
NPI:1932139219
Name:HANDLEY, KEVIN BYRNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:BYRNE
Last Name:HANDLEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4701 SPOTSYLVANIA PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-9435
Mailing Address - Country:US
Mailing Address - Phone:540-369-3600
Mailing Address - Fax:540-369-6300
Practice Address - Street 1:4701 SPOTSYLVANIA PKWY STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-9435
Practice Address - Country:US
Practice Address - Phone:540-369-3600
Practice Address - Fax:540-366-6300
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810003629103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical