Provider Demographics
NPI:1144396813
Name:LAFLEUR-VETTER, HAZEL (MSS, PHD)
Entity Type:Individual
Prefix:DR
First Name:HAZEL
Middle Name:
Last Name:LAFLEUR-VETTER
Suffix:
Gender:F
Credentials:MSS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 N RIDLEY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-4527
Mailing Address - Country:US
Mailing Address - Phone:610-565-8181
Mailing Address - Fax:
Practice Address - Street 1:1680 N RIDLEY CREEK RD
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-4527
Practice Address - Country:US
Practice Address - Phone:610-565-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0139211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical