Provider Demographics
NPI:1205131794
Name:HANDZUS, SHANNA MARIE (MA, NCC)
Entity type:Individual
Prefix:
First Name:SHANNA
Middle Name:MARIE
Last Name:HANDZUS
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:SHANNA
Other - Middle Name:MARIE
Other - Last Name:ROVIDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, NCC
Mailing Address - Street 1:317 POWER ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15906-2730
Mailing Address - Country:US
Mailing Address - Phone:814-536-1555
Mailing Address - Fax:
Practice Address - Street 1:110 COAL ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-2311
Practice Address - Country:US
Practice Address - Phone:814-244-8414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional