Provider Demographics
NPI:1720574007
Name:MARIA P. HANZLIK, LLC
Entity Type:Organization
Organization Name:MARIA P. HANZLIK, LLC
Other - Org Name:INTEGRATED PSYCHOLOGICAL CENTER OF INDIANA (IPCI)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:PAPACHRYSANTHOU
Authorized Official - Last Name:HANZLIK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, HSPP
Authorized Official - Phone:317-550-3221
Mailing Address - Street 1:50 E 91ST ST STE 316
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1556
Mailing Address - Country:US
Mailing Address - Phone:317-550-3221
Mailing Address - Fax:317-550-3228
Practice Address - Street 1:50 E 91ST ST STE 316
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1556
Practice Address - Country:US
Practice Address - Phone:317-550-3221
Practice Address - Fax:317-550-3228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty