Dale Todd Hazlak in Wilkes Barre - Psychologist
Dale Todd Hazlak - NPI 1073702379
Dale Todd Hazlak is a Psychologist in Wilkes Barre, Pennsylvania. Dale Todd Hazlak practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Dale Todd Hazlak is 1073702379. The last update date is 2007-10-23.
Dale Todd Hazlak's current location address is 110 S Pennsylvania Ave, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5705526000 and fax number 5705526021. The mailing address for Dale Todd Hazlak is 110 S Pennsylvania Ave, Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Todd Hazlak |
|---|---|
| Address | 110 S Pennsylvania Ave, Wilkes Barre, Pennsylvania |
| Phone Number | 5705526000 |
| Fax Number | 5705526021 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073702379 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2007-10-23 |
Provider Mailing Address Detail
| Address | 110 S Pennsylvania Ave |
|---|---|
| City | Wilkes Barre |
| State | Pennsylvania (PA) |
| Post Code | 187013301 |
| Phone Number | 5705526000 |
| Fax Number | 5705526021 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS007296L |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the Dale Todd Hazlak's 1073702379?
The Dale Todd Hazlak's NPI (National Provider Identifier) Number is 1073702379. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dale Todd Hazlak is geographically located?
The Dale Todd Hazlak is physically situated at the following location: 110 S Pennsylvania Ave, Wilkes Barre, PA, 187013301.
What is Dale Todd Hazlak's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dale Todd Hazlak's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date was the 1073702379 assigned to Dale Todd Hazlak?
The Dale Todd Hazlak was issued its 1073702379 on 2007-10-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Dale Todd Hazlak last refreshed?
The information related to the Dale Todd Hazlak, including its address, specialty, and other relevant details, was last updated on 2007-10-23.