Cathy A Hazelton, M.S., CCC-SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP202 Issued in ME

Practice address

425 Green Woods Rd
Peru, ME 04290-3338

Phone

(207) 562-8278

Fax

(207) 369-0873

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285733659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 GREEN WOODS RD",
            "city": "PERU",
            "state": "ME",
            "postal_code": "042903338",
            "telephone_number": "207-562-8278",
            "fax_number": "207-369-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 GREEN WOODS RD",
            "city": "PERU",
            "state": "ME",
            "postal_code": "042903338",
            "telephone_number": "207-562-8278",
            "fax_number": "207-369-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELTON",
        "first_name": "CATHY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Cantin, PT
• Dawn Grondin, COTA/L
• Katherine Hutchinson
• Crystal Pineau
• Zackary Ceylon Putnam
• Catherine Sangiolo-Gaidis
• Linda D Taylor, SLPA

• Speech-Language Pathologist in Peru, ME
• Providers in Peru, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.