Individual
ANDREA LYNN HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3020 CHILDRENS WAY, MC 5033, SAN DIEGO, CA 92123-4223
(858) 966-7703
(858) 966-7704
Mailing address
3020 CHILDRENS WAY, MC 5033, SAN DIEGO, CA 92123-4223
(858) 966-7703
(858) 966-7704
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
18826
CA
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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