Lisa M Hazlett, SLP
Individual provider Active NPI Speech-Language Pathologist · Gate City, VA
NPI 1992979421 · NPPES record last updated Apr 16, 2008
Key facts
- NPI
- 1992979421
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202004203 (VA)
- Practice address
- 195 Kane Street
Gate City, VA 24251 - Phone
- (276) 386-2424
- Fax
- (276) 386-1446
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202004203 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Innovations Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202004203 | VA | Yes |
Addresses
Primary practice location
195 Kane Street
Gate City, VA 24251
Mailing address
PO Box 1807
Gate City, VA 24251-4807
Phone (276) 386-2424
Other providers in Gate City, VA
- Rebecca Ann Hagy
- William Tyler Halstead
- Nora L Hardison
- Daniel Alexander Hardwick
- Donna Jo Hardy
- Alyssa Martin Henry
- Jennifer Gail Hill
- Jane C Hilt
- Carolyn Renee Hubbard II
- Jeffrey D. Montgomery, DDS, PC
All providers in Gate City, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.