Provider Demographics
NPI:1942408380
Name:HANDAL, PAUL J (PHD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:HANDAL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:221 N GRAND BLVD
Mailing Address - Street 2:PSYCHOLOGY DEPT.
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-2006
Mailing Address - Country:US
Mailing Address - Phone:314-977-2277
Mailing Address - Fax:314-977-1006
Practice Address - Street 1:221 N GRAND BLVD
Practice Address - Street 2:PSYCHOLOGY DEPT.
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-2006
Practice Address - Country:US
Practice Address - Phone:314-977-2277
Practice Address - Fax:314-977-1006
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO51103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical