Dr. Michael Gerard Hazlewood, Ph.D.
Clinical Neuropsychologist in Little Rock, AR. Individual provider (NPI-1).
NPI number1043218472
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1043218472
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Gerard Hazlewood
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | AR 79-32P | AR | Yes |
Practice location
60 Woodlore CirLittle Rock, AR 72211-2354
Phone 501-224-9876
Mailing address
Po Box 356North Little Rock, AR 72115-0356
Phone 501-224-9876
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- Dr. Courtney O. Ghormley, PhDNPI 1063502532
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