Hazzard-Patterson, Tara Suzette

Hazzard-Patterson, Tara Suzette is an individual health care provider with primary practice located at 600 Medical Dr Hampton Newport News Community Services Board, Hampton VA 23666-6079. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Hazzard-Patterson, Tara Suzette can be contacted via phone (757) 788-0500.

Contact Information

Primary practice address
600 Medical Dr Hampton Newport News Community Services Board Hampton VA 23666-6079
Phone: (757) 788-0500
Fax: (757) 788-0928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701004293 Virginia

Profile Details

NPI number 1427205152
LBN Legal business name Hazzard-Patterson, Tara Suzette
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2008
Last updated Sep 9th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427205152 NPPES
Other 1427205151 NPI
MEDICAID 49-45573 NPI

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