Provider Demographics
NPI:1922683291
Name:HAZARD, KAREN A (MS,CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:A
Last Name:HAZARD
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 GREENVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-7419
Mailing Address - Country:US
Mailing Address - Phone:401-767-2595
Mailing Address - Fax:
Practice Address - Street 1:400 MASSASOIT AVE STE 113
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-2040
Practice Address - Country:US
Practice Address - Phone:401-490-7610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist