Provider Demographics
NPI:1639312788
Name:HATCHER, JOAN L
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:L
Last Name:HATCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 E HAHNS PEAK AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-2711
Mailing Address - Country:US
Mailing Address - Phone:719-320-3388
Mailing Address - Fax:
Practice Address - Street 1:531 E HAHNS PEAK AVE
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-2711
Practice Address - Country:US
Practice Address - Phone:719-320-3388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-18
Last Update Date:2009-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor