Provider Demographics
NPI:1164867750
Name:HATCHETT, FELICIA RENEA
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:RENEA
Last Name:HATCHETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 ANDERSON MILL RD
Mailing Address - Street 2:APT 838
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-4700
Mailing Address - Country:US
Mailing Address - Phone:936-718-4932
Mailing Address - Fax:
Practice Address - Street 1:8601 ANDERSON MILL RD
Practice Address - Street 2:APT 838
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-4700
Practice Address - Country:US
Practice Address - Phone:936-718-4932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2014-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst