Individual
MICHAEL HANDWERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1007 US HIGHWAY 45 N, ELDORADO, IL 62930-3767
(618) 273-7723
(618) 273-3384
Mailing address
1007 US HIGHWAY 45 N, ELDORADO, IL 62930-3767
(618) 273-7723
(618) 273-3384
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
490
NE
103TC0700X
Clinical Psychologist
Primary
007389
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660631
—
NE
Enumeration date
01/23/2007
Last updated
03/03/2008
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