Doctor Name: | DR. IDA L HATCHER |
NPI Number: | 1548528425 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 1049 |
Business Practice Address: | 761 3rd St New Martinsville, WV - 261551403 |
Business Phone Number: | 3044553035 |
Business Fax Number: | |
Mailing Address: | 403 N 4th Ave, PADEN CITY |
State: | WV |
Postal Code: | 261591513 |
Phone Number: | 3043374051 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2012 |
NPI Last Update Date: | 04/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 1049 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |