Dale Todd Hazlak
Dale Todd Hazlak is a Psychologist in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
Practice location Address checks out
110 S Pennsylvania AveWilkes Barre, PA 18701-3301
Phone: (570) 552-6000
Fax: (570) 552-6021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence PS007296L (PA) |
|---|
Record details
| NPI number | 1073702379 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 23, 2007 |
| Last updated in NPPES | October 23, 2007 |
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