Individual
MRS. DENISE HAZELRIGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
909 S 76TH ST, OMAHA, NE 68114
(402) 390-2100
Mailing address
909 S 76TH ST, OMAHA, NE 68114-4519
(402) 390-2100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
625
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025289000
—
NE
Enumeration date
11/02/2006
Last updated
07/23/2018
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