Provider Demographics
NPI:1578306551
Name:HAND, CALLIE (BS)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:
Last Name:HAND
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 J D WALTON RD
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-4933
Mailing Address - Country:US
Mailing Address - Phone:678-340-8597
Mailing Address - Fax:
Practice Address - Street 1:1228 J D WALTON RD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-4933
Practice Address - Country:US
Practice Address - Phone:678-340-8597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician