National Provider Identifier
Rose Hazlitt, PSY.D.
Rose Hazlitt, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Canandaigua, NY and a listed phone number of (607) 481-3070.
Profile Overview
- NPI
- 1558985655
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- June 04, 2020
- Last Updated
- June 04, 2020
Practice Location
- 5297 Parkside Dr
- Canandaigua, NY 14424-7504
Phone: (607) 481-3070
Mailing Address
- 5510 Peach Orchard PT
- Hector, NY 14841
Specialties
- Clinical Psychologist (103TC0700X)
- School Psychologist (103TS0200X)
Full Record
- NPI
- 1558985655
- Entity Type
- Individual
- Last Name
- Hazlitt
- First Name
- Rose
- Name Prefix
- Dr.
- Credential
- PSY.D.
- Mailing Street Address
- 5510 Peach Orchard PT
- Mailing City
- Hector
- Mailing State
- NY
- Mailing ZIP Code
- 14841
- Mailing Country
- US
- Mailing Phone
- (607) 481-3070
- Practice Street Address
- 5297 Parkside Dr
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-7504
- Practice Country
- US
- Practice Phone
- (607) 481-3070
- Enumeration Date
- June 04, 2020
- Last Updated
- June 04, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- June 04, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X), School Psychologist (103TS0200X)