Individual provider · Type 1 NPI

Dale Todd Hazlak

Psychologist · Wilkes Barre, PA

NPI number 1073702379 Active

Practice location

110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301

Call (570) 552-6000 Map

Fax (570) 552-6021

Mailing address

176 Oliver St
Swoyersville, PA 18704-1944

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPS007296L (PA)

Psychologist: 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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1073702379

Dale Todd Hazlak's National Provider Identifier is 1073702379, issued on Oct 23, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Oct 23, 2007.