DALE TODD HAZLAK
NPI 1073702379
Psychologist in Wilkes Barre, PA

Active since October 23, 2007
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701(570) 552-6000(570) 552-6021 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dale Todd Hazlak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE TODD HAZLAK (NPI 1073702379) is an individual psychologist in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (PS007296L) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1073702379
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDALE TODD HAZLAK
Location Address110 S PENNSYLVANIA AVEWilkes Barre, PA 18701-3301
Mailing Address176 Oliver StSwoyersville, PA 18704-1944
Fax(570) 552-6021
Sole ProprietorNo
Enumeration DateOctober 23, 2007
NPI 1073702379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS007296L
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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
110 S PENNSYLVANIA AVE, Wilkes Barre, PA 18701

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Counselor (Professional)
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Nurse Practitioner (Family)
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Social Worker (Clinical)
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Registered Nurse
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Clinic/Center (Mental Health (Including Community Mental Health Center))
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Registered Nurse
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Social Worker
110 S PENNSYLVANIA AVE
WILKES BARRE, PA 18701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Hazlak's NPI number?

The NPI number for Dale Hazlak is 1073702379. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is Dale Hazlak located?

Dale Hazlak practices at 110 S Pennsylvania Ave, Wilkes Barre, PA 18701. The listed phone number is (570) 552-6000.

What is Dale Hazlak's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Dale Hazlak was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.