Provider Demographics
NPI:1265547079
Name:HAND, MICHAEL P (PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:P
Last Name:HAND
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:776 VILLA VANESSA DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-1528
Mailing Address - Country:US
Mailing Address - Phone:915-584-3636
Mailing Address - Fax:
Practice Address - Street 1:600 SUNLAND PARK DR
Practice Address - Street 2:BLDG. 6-400
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5115
Practice Address - Country:US
Practice Address - Phone:915-584-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32456103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist