Provider Demographics
NPI:1063733533
Name:HANDWERKER, STEVEN ERIC (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ERIC
Last Name:HANDWERKER
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:POB 880229
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33488-0229
Mailing Address - Country:US
Mailing Address - Phone:561-447-6700
Mailing Address - Fax:
Practice Address - Street 1:2385 N.W. CORPORATE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-8510
Practice Address - Country:US
Practice Address - Phone:561-447-6700
Practice Address - Fax:561-417-2494
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5388103T00000X
NY7980-1103T00000X
SD400103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist