Provider Demographics
NPI:1750686671
Name:HANZEL, MARYANNE KATHRYN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MARYANNE
Middle Name:KATHRYN
Last Name:HANZEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MARYANNE
Other - Middle Name:KATHRYN
Other - Last Name:PAOLONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 BUCKINGHAM CT
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-3234
Mailing Address - Country:US
Mailing Address - Phone:856-375-8188
Mailing Address - Fax:
Practice Address - Street 1:6 ENTERPRISE CT
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3234
Practice Address - Country:US
Practice Address - Phone:856-375-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37F100152700106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist