Provider Demographics
NPI:1518325612
Name:HATCHER, CANDACE ANN
Entity Type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:ANN
Last Name:HATCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CANDACE
Other - Middle Name:ANN
Other - Last Name:HATCHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS/CCC-SLP
Mailing Address - Street 1:108 AMSTERDAM PL
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-6858
Mailing Address - Country:US
Mailing Address - Phone:256-683-3606
Mailing Address - Fax:
Practice Address - Street 1:411 MCALLISTER DRIVE SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805
Practice Address - Country:US
Practice Address - Phone:256-837-8585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1141235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist