Individual
ANTHONY GARRETT HAZELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
333 GASHES CREEK RD, ASHEVILLE, NC 28803-9405
(828) 650-8232
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5698
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4316
NC
103TC0700X
Clinical Psychologist
102966
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172RP
BCBS
NC
01
—
560543246
TAX ID
—
05
—
6001373
—
NC
Enumeration date
05/24/2012
Last updated
03/21/2023
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