Individual
KELLEY S. HAZEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
325 9TH AVE, BOX 359735, SEATTLE, WA 98104-2420
(206) 341-4612
(206) 341-4614
Mailing address
325 9TH AVE, BOX 359735, SEATTLE, WA 98104-2420
(206) 341-4612
(206) 341-4614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002812
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57782U
REGENCE BLUE SHIELD PIN
WA
Enumeration date
05/09/2006
Last updated
07/08/2007
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