Provider Demographics
NPI:1568855005
Name:HATTEN, AMY
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:HATTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:WADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19831 30TH DR SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-7260
Mailing Address - Country:US
Mailing Address - Phone:206-427-4898
Mailing Address - Fax:
Practice Address - Street 1:1415 NE 128TH ST
Practice Address - Street 2:SUITE 40
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:90834
Practice Address - Country:US
Practice Address - Phone:425-307-1815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst