IndividualActive
Kitara Hazen
NPI 1417491069 · Speech-Language Pathologist · San Antonio, TX
Provider details
- NPI number
- 1417491069
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 111346 (TX)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
16201 Rough Oak St
Apt 1231
San Antonio, TX 78232-1863
Phone: (937) 510-2700
Approximate (ZIP-level) locationGet directions
Mailing address
16201 Rough Oak St
San Antonio, TX 78232-1863
Registry dates
- Enumerated
- 2016-12-15
- Last updated
- 2016-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.