Provider Demographics
NPI:1053444596
Name:HANZMAN, STUART A (SOCIAL WORKER)
Entity Type:Individual
Prefix:MR
First Name:STUART
Middle Name:A
Last Name:HANZMAN
Suffix:
Gender:M
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4190 PINESET DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6510
Mailing Address - Country:US
Mailing Address - Phone:770-442-3833
Mailing Address - Fax:770-642-4239
Practice Address - Street 1:4190 PINESET DR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-6510
Practice Address - Country:US
Practice Address - Phone:770-442-3833
Practice Address - Fax:770-642-4239
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA07661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical