Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Grace E Hazeltine, PHD

Individual provider Psychologist · NPI 1578008256

Dr. Grace E Hazeltine, PHD is a Psychologist in Culver City, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4212 1/2 Overland Ave
Culver City, CA 90230-3736
Phone: (323) 553-2205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY33148 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY33418 (CA)

Record details

NPI number1578008256
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 4, 2017
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

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