Provider Demographics
NPI:1982687638
Name:HANDEL, LINDA (MA)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:HANDEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 E MANNING ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-4309
Mailing Address - Country:US
Mailing Address - Phone:401-274-7225
Mailing Address - Fax:401-274-7225
Practice Address - Street 1:105 E MANNING ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4309
Practice Address - Country:US
Practice Address - Phone:401-274-7225
Practice Address - Fax:401-274-7225
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00035101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIMHC00035OtherMENTAL HEALTH COUNSELOR
MAMH 4072-CCOtherMENTAL HEALTH COUNSELOR