Doctor Name: | MR. CLIFTON HATCHERSON |
NPI Number: | 1003074329 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | PRO024609-1 |
Business Practice Address: | 445 Winn Way 5247 Running Doe Drive Decatur, GA - 300301707 |
Business Phone Number: | 4042898445 |
Business Fax Number: | 4042988288 |
Mailing Address: | 445 Winn Way, 5247 Running Doe Drive DECATUR |
State: | GA |
Postal Code: | 300301707 |
Phone Number: | 4042898445 |
Fax Number: | 4042988288 |
NPI Enumeration Date: | 05/23/2008 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PRO024609-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |