Provider Demographics
NPI:1295397990
Name:HATCHER, BENJAMIN (MDIV)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:HATCHER
Suffix:
Gender:M
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 TURMAN LOOP STE 101
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7794
Mailing Address - Country:US
Mailing Address - Phone:813-982-4230
Mailing Address - Fax:813-982-4230
Practice Address - Street 1:3717 TURMAN LOOP STE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7794
Practice Address - Country:US
Practice Address - Phone:813-982-4230
Practice Address - Fax:813-982-4230
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist