| Doctor Name: | CASSANDRA HAZELRIG |
| NPI Number: | 1134540198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP-BC |
| License Number: | RN 274350 COA1 |
| Business Practice Address: | 10500 Montgomery Rd Blue Ash, OH - 452424402 |
| Business Phone Number: | 5138655198 |
| Business Fax Number: | |
| Mailing Address: | 10500 Montgomery Rd, BLUE ASH |
| State: | OH |
| Postal Code: | 452424402 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2013 |
| NPI Last Update Date: | 02/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | RN 274350 COA1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |