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Contact Information

CLIVE G HAZELL, PHD, DN
3324 N KOSTNER AVE
CHICAGO, IL60641-4513
 Phone: 773-726-1952
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CLIVE G HAZELL · (Male)

NPI Number 1447514153
Status Active
Credentials PHD, DN
Entity Individual
Enumeration date 06/27/2012
Last updated 06/27/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 180003932
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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