Provider Demographics
NPI:1033486659
Name:HATCHER, ANGELA P (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:P
Last Name:HATCHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9904 EDGECLIFF DR
Mailing Address - Street 2:
Mailing Address - City:MOSS POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39562-6727
Mailing Address - Country:US
Mailing Address - Phone:269-267-0811
Mailing Address - Fax:
Practice Address - Street 1:190 RADFORD BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32508-5215
Practice Address - Country:US
Practice Address - Phone:850-452-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1726103T00000X
MI6301012554103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist