Provider Demographics
NPI:1639229651
Name:HANDLER HALEY, PAYCE JO-HANNA
Entity type:Individual
Prefix:MRS
First Name:PAYCE
Middle Name:JO-HANNA
Last Name:HANDLER HALEY
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:PAYCE
Other - Middle Name:JO- HANNA
Other - Last Name:HANDLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:6705 CINNAMON DR
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-4550
Mailing Address - Country:US
Mailing Address - Phone:215-870-5616
Mailing Address - Fax:215-508-1197
Practice Address - Street 1:2705 DEKALB PIKE
Practice Address - Street 2:SUITE 309
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-1852
Practice Address - Country:US
Practice Address - Phone:610-275-0200
Practice Address - Fax:610-275-4436
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013060207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine