DR. LISA LOUISE HAZELWOOD PH.D.
NPI 1801196027
Psychologist - Clinical in Rancho Cucamonga, CA

Q: What is Lisa Hazelwood's NPI number?

The NPI number for Lisa Hazelwood is 1801196027. It was assigned to this individual provider in the NPPES registry on October 22, 2010.

Q: What is Lisa Hazelwood's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Hazelwood was last updated on September 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 22, 2010

9500 ETIWANDA AVE., WEST VALLEY DETENTION CENTER, ATTN: MEDICAL SRVCS/LIBERTY ROC, RANCHO CUCAMONGA, CA 91739(909) 463-5115 Get Directions Write a Review

NPPES record last updated: September 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Lisa Louise Hazelwood Ph.d. NPPES

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

DR. LISA LOUISE HAZELWOOD PH.D. (NPI 1801196027) is an individual clinical provider in Rancho Cucamonga, California, licensed in California (23776) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1801196027

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LISA LOUISE HAZELWOODCredential: PH.D.

Location Address9500 ETIWANDA AVE., WEST VALLEY DETENTION CENTER, ATTN: MEDICAL SRVCS/LIBERTY ROCRancho Cucamonga, CA 91739

Mailing AddressPo Box 5488Pasadena, CA 91117-0488 · (806) 535-5893 · Fax (626) 737-8384

Phone(909) 463-5115

Sole ProprietorNo

Enumeration DateOctober 22, 2010

Last NPPES UpdateSeptember 28, 2013

✔ NPI 1801196027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 23776

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

9500 ETIWANDA AVE., WEST VALLEY DETENTION CENTER, Rancho Cucamonga, CA 91739

Open in Google Maps ↗

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 Lisa Hazelwood's NPI number?

The NPI number for Lisa Hazelwood is 1801196027. It was assigned to this individual provider in the NPPES registry on October 22, 2010.

Where is Lisa Hazelwood located?

Lisa Hazelwood practices at 9500 Etiwanda Ave., West Valley Detention Center Attn: Medical Srvcs/Liberty Roc, Rancho Cucamonga, CA 91739. The listed phone number is (909) 463-5115.

What is Lisa Hazelwood's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lisa Hazelwood was last updated on September 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.