Provider Demographics
NPI:1154459592
Name:HATCHER, DOTHULIE MONETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOTHULIE
Middle Name:MONETTE
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 1:250 W 103RD ST
Mailing Address - Street 2:APT. 10C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4400
Mailing Address - Country:US
Mailing Address - Phone:212-864-4938
Mailing Address - Fax:212-864-4938
Practice Address - Street 1:200 W 57TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3211
Practice Address - Country:US
Practice Address - Phone:212-864-4938
Practice Address - Fax:212-864-4938
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013151103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical