| Doctor Name: | MRS. DONNA JANE HATHCOCK |
| NPI Number: | 1245669365 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC-LITTLE ROCK SCHO |
| License Number: | A1310137 |
| Business Practice Address: | 10025 W. Markham St Suite 210 Little Rock, AR - 72205 |
| Business Phone Number: | 5016635473 |
| Business Fax Number: | 5018011816 |
| Mailing Address: | 10025 W. Markham St, Suite 210 LITTLE ROCK |
| State: | AR |
| Postal Code: | 72205 |
| Phone Number: | 5016635473 |
| Fax Number: | 5018011816 |
| NPI Enumeration Date: | 11/08/2013 |
| NPI Last Update Date: | 12/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | A1310137 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |