Hazlett, Robert T.
Hazlett, Robert T. is an individual health care provider with primary practice located at 4700 Long Beach Blvd , Long Beach Township NJ 08008-3926. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Hazlett, Robert T. can be contacted via phone (609) 494-1554.Contact Information
Primary practice address
4700 Long Beach Blvd
Long Beach Township NJ 08008-3926
Phone: (609) 494-1554
Fax: (609) 361-9553
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 44SC00157900 | New Jersey |
Profile Details
NPI number | 1750327912 |
---|---|
LBN Legal business name | Hazlett, Robert T. |
Credentials | LCSW, PH.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Oct 8th, 2007 - about 17 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750327912 | NPPES |
New Jersey | MEDICAID | 0094251 |
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