Provider Demographics
NPI:1285949982
Name:HANZLIK, MARIA P (PSYD, HSPP)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:P
Last Name:HANZLIK
Suffix:
Gender:F
Credentials:PSYD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 E 91ST ST
Mailing Address - Street 2:SUITE 316
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1549
Mailing Address - Country:US
Mailing Address - Phone:317-550-3221
Mailing Address - Fax:317-550-3228
Practice Address - Street 1:50 E 91ST ST
Practice Address - Street 2:SUITE 316
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1549
Practice Address - Country:US
Practice Address - Phone:317-550-3221
Practice Address - Fax:317-550-3228
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042561A103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical