Healthcare Provider Details

I. General information

NPI: 1750217683
Provider Name (Legal Business Name): MRS. MARSHA HAZELWOOD OWENS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 NATURAL BRIDGE SCHOOL RD
NATURAL BRIDGE STATION VA
24579-1501
US

IV. Provider business mailing address

55 MANOR VIEW CT
NATURAL BRIDGE STATION VA
24579-3201
US

V. Phone/Fax

Practice location:
  • Phone: 540-291-2292
  • Fax: 540-291-2966
Mailing address:
  • Phone: 540-291-2292
  • Fax: 540-291-2966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202007717
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: