Doctor Name: | MS. JENNIFER LYNN HATTER |
NPI Number: | 1912044009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, EDS |
License Number: | 0701003635 |
Business Practice Address: | 268 Draft Avenue Stuarts Draft, VA - 244770630 |
Business Phone Number: | 5409082156 |
Business Fax Number: | 5409082216 |
Mailing Address: | Po Box 630, 268 Draft Avenue STUARTS DRAFT |
State: | VA |
Postal Code: | 244770630 |
Phone Number: | 5409082156 |
Fax Number: | 5409082216 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701003635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |