Provider Demographics
NPI:1073738027
Name:REEVES, HAZEL KNOX (MSW)
Entity Type:Individual
Prefix:MRS
First Name:HAZEL
Middle Name:KNOX
Last Name:REEVES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-8157
Mailing Address - Country:US
Mailing Address - Phone:407-366-9682
Mailing Address - Fax:407-366-9682
Practice Address - Street 1:513 YORKSHIRE DR
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8157
Practice Address - Country:US
Practice Address - Phone:407-366-9682
Practice Address - Fax:407-366-9682
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical