Provider Demographics
NPI:1417311481
Name:HATCHER YAEGER & ASSOCIATES
Entity Type:Organization
Organization Name:HATCHER YAEGER & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRICK-YAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:734-242-4673
Mailing Address - Street 1:214 E ELM AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-2600
Mailing Address - Country:US
Mailing Address - Phone:734-242-4673
Mailing Address - Fax:734-242-4676
Practice Address - Street 1:214 E ELM AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-2600
Practice Address - Country:US
Practice Address - Phone:734-242-4673
Practice Address - Fax:734-242-4676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012408103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty