Provider Demographics
NPI:1972811156
Name:HAND, BLAIR PRIEST
Entity Type:Individual
Prefix:
First Name:BLAIR
Middle Name:PRIEST
Last Name:HAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25550 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE #316
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6825
Mailing Address - Country:US
Mailing Address - Phone:310-375-8185
Mailing Address - Fax:310-375-8187
Practice Address - Street 1:25550 HAWTHORNE BLVD
Practice Address - Street 2:SUITE #316
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6825
Practice Address - Country:US
Practice Address - Phone:310-375-8185
Practice Address - Fax:310-375-8187
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26491103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist