MARY KATHLEEN HAZEL CCC-SLP
NPI 1720551203
Speech-Language Pathologist in Bad Axe, MI

Active since January 07, 2019
128 W HURON AVE STE H, BAD AXE, MI 48413(989) 269-6666 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2023, Jan 7, 2019 (2 updates tracked since 2019).

About Mary Kathleen Hazel Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHLEEN HAZEL CCC-SLP (NPI 1720551203) is an individual speech-language pathologist provider in Bad Axe, Michigan, licensed in Michigan (7101005942) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1720551203
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY KATHLEEN HAZELCredential: CCC-SLP
Location Address128 W HURON AVE STE HBad Axe, MI 48413-1177
Mailing Address128 W Huron AveBad Axe, MI 48413-1177 · (989) 269-7666
Sole ProprietorNo
Enumeration DateJanuary 7, 2019
Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
NPI 1720551203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MI · 7101005942
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
128 W HURON AVE STE H, Bad Axe, MI 48413

Other Names 1

Former Name (1)Mary Kathleen Russell Ccc-slp

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
128 W HURON AVE STE H
BAD AXE, MI 48413
Speech-Language Pathologist
128 W HURON AVE STE H
BAD AXE, MI 48413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Hazel's NPI number?

The NPI number for Mary Hazel is 1720551203. It was assigned to this individual provider in the NPPES registry on January 7, 2019. The provider is also known as Mary Kathleen Russell Ccc-Slp.

Where is Mary Hazel located?

Mary Hazel practices at 128 W Huron Ave Ste H, Bad Axe, MI 48413. The listed phone number is (989) 269-6666.

What is Mary Hazel's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Mary Hazel accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mary Hazel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Hazel was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.