Whalio Doctors

NPI 1174702245

Sherilyn Hazen, SLP

Practitioner Local Education Agency (LEA) Glendale, AZ

Practice location

Address
4650 W Sweetwater Ave, Glendale, AZ 85304-1505
Phone
(602) 347-2600
Fax
(602) 347-2709
Mailing address
315 W Kelton Ln, Phoenix, AZ 85023-7930

Registered specialties

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X Licence SLPL0632 (AZ)

Registry record

NPI
1174702245
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Oct 2007
Record last updated
25 Oct 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.