Individual
HEATHER CODY HAZLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
100 RENEE LYNN CT, CARRBORO, NC 27510-6511
(919) 966-4099
Mailing address
4115 HULON DR, DURHAM, NC 27705-5360
(919) 489-4964
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2738
NC
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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