NPI 1043218472

Michael Gerard Hazlewood, PHD

Practitioner Clinical Neuropsychologist Little Rock, AR

Practice location

Address: 60 Woodlore Cir, Little Rock, AR 72211-2354
Phone: (501) 224-9876
Mailing address: PO Box 356, North Little Rock, AR 72115-0356

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence AR 79-32P (AR)

Other Clinical Neuropsychologist providers in Arkansas →

Registry record

NPI: 1043218472
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2005
Record last updated: 8 Jul 2007

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.