Hazlewood, Michael Gerard

Hazlewood, Michael Gerard is an sole proprietor health care provider with primary practice located at 60 Woodlore Cir , Little Rock AR 72211-2354. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Hazlewood, Michael Gerard can be contacted via phone (501) 224-9876.

Contact Information

Primary practice address
60 Woodlore Cir Little Rock AR 72211-2354
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X AR 79-32P Arkansas

Profile Details

NPI number 1043218472
LBN Legal business name Hazlewood, Michael Gerard
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2005
Last updated Jul 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.

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