Provider Demographics
NPI:1548477201
Name:KAZANJIAN, BARBARA ALLEN (MS-LMFT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ALLEN
Last Name:KAZANJIAN
Suffix:
Gender:F
Credentials:MS-LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 INDIANOLA AVE
Mailing Address - Street 2:APT. 9
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-2052
Mailing Address - Country:US
Mailing Address - Phone:317-371-4897
Mailing Address - Fax:
Practice Address - Street 1:815 MAIN ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-1712
Practice Address - Country:US
Practice Address - Phone:317-371-4897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001415A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist