Provider Demographics
NPI:1053438911
Name:HANDELMAN, DAVID R (EDD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:HANDELMAN
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 BELAIRE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-2717
Mailing Address - Country:US
Mailing Address - Phone:856-778-4231
Mailing Address - Fax:856-778-4231
Practice Address - Street 1:1873 MARLTON PIKE E
Practice Address - Street 2:SUITE 101B
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2034
Practice Address - Country:US
Practice Address - Phone:856-778-4231
Practice Address - Fax:856-778-4231
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1828103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical