Individual
BOB HANDELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 BULLOCK RD, NORWICH, VT 05055-9791
(802) 649-1030
Mailing address
24 BULLOCK RD, NORWICH, VT 05055-9791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
089-0000100
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006699
—
VT
05
—
30010248
—
NH
Enumeration date
12/15/2005
Last updated
11/19/2012
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