Doctor Name: | MR. RICHARD J. HATCH |
NPI Number: | 1407826852 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 137410-3501 |
Business Practice Address: | 55 S 500 E Heber City, UT - 840321918 |
Business Phone Number: | 4356543003 |
Business Fax Number: | 4356570309 |
Mailing Address: | 750 N Freedom Blvd, Suite 300 PROVO |
State: | UT |
Postal Code: | 846011677 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 04/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 137410-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |