Provider Demographics
NPI:1558679738
Name:HATT, SEAN PATRICK (PHD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:PATRICK
Last Name:HATT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3965 BETHEL RD SE STE 1
Mailing Address - Street 2:#240
Mailing Address - City:PORT ORCHARD
Mailing Address - State:WA
Mailing Address - Zip Code:98366-1976
Mailing Address - Country:US
Mailing Address - Phone:206-801-3214
Mailing Address - Fax:
Practice Address - Street 1:3965 BETHEL RD SE
Practice Address - Street 2:
Practice Address - City:PORT ORCHARD
Practice Address - State:WA
Practice Address - Zip Code:98366-1976
Practice Address - Country:US
Practice Address - Phone:206-801-3214
Practice Address - Fax:844-673-6165
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60119600103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical