| Doctor Name: | EMMA BIANCA HATCH |
| NPI Number: | 1205121886 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW, BSW, CSW |
| License Number: | LSW-29034 |
| Business Practice Address: | 748 Main St Lander, WY - 825203036 |
| Business Phone Number: | 2083322231 |
| Business Fax Number: | 3073329338 |
| Mailing Address: | 748 Main Street, LANDER |
| State: | WY |
| Postal Code: | 825203036 |
| Phone Number: | 2083322231 |
| Fax Number: | 3073329338 |
| NPI Enumeration Date: | 06/13/2011 |
| NPI Last Update Date: | 06/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSW-29034 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |