Provider Demographics
NPI:1245414937
Name:HATCH, BRUCE EDWARD (LPC)
Entity Type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:EDWARD
Last Name:HATCH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3634 WINDFLOWER CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-4538
Mailing Address - Country:US
Mailing Address - Phone:970-825-6597
Mailing Address - Fax:719-960-3911
Practice Address - Street 1:3225 TEMPLETON GAP RD STE 103
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8729
Practice Address - Country:US
Practice Address - Phone:970-825-6597
Practice Address - Fax:719-960-3911
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2024-04-09
Deactivation Date:2024-03-19
Deactivation Code:
Reactivation Date:2024-04-09
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health