NPI 1003163981

Susan Peterson-Hazan, CSW

Practitioner Clinical Social Worker Atlanta, GA

Practice location

Address: 1821 Clifton Rd NE, Atlanta, GA 30329-4021
Phone: (404) 728-6273
Fax: (404) 728-6577

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW001190 (GA)

Other Social Worker providers in Georgia →

Registry record

NPI: 1003163981
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2012
Record last updated: 9 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.