Hazen, Thomas W

Hazen, Thomas W is an sole proprietor health care provider with primary practice located at 1300 E Center St , Provo UT 84606-3554. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Hazen, Thomas W can be contacted via phone (801) 344-4400.

Contact Information

Primary practice address
1300 E Center St Provo UT 84606-3554
Phone: (801) 344-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 139747-6004 Utah

Profile Details

NPI number 1083785240
LBN Legal business name Hazen, Thomas W
Credentials CMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2006
Last updated May 29th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers