Hazeltine, Grace E
Hazeltine, Grace E is an sole proprietor health care provider with primary practice located at 4212 1/2 Overland Ave , Culver City CA 90230-3736. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hazeltine, Grace E can be contacted via phone (323) 553-2205.Contact Information
Primary practice address
4212 1/2 Overland Ave
Culver City CA 90230-3736
Phone: (323) 553-2205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY33148 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY33418 | California |
Profile Details
| NPI number | 1578008256 |
|---|---|
| LBN Legal business name | Hazeltine, Grace E |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2017 |
| Last updated | May 16th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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