Healthcare Provider Details

I. General information

NPI: 1023924487
Provider Name (Legal Business Name): KATHERINE HAZEN SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 PARK AVE
KANSAS CITY MO
64109-2532
US

IV. Provider business mailing address

7247 ROBINSON ST
OVERLAND PARK KS
66204-1855
US

V. Phone/Fax

Practice location:
  • Phone: 816-418-2600
  • Fax:
Mailing address:
  • Phone: 913-669-6264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: