Provider Demographics
NPI:1689902652
Name:HATCHER, ANASTASIA (MA, LADC (US))
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:HATCHER
Suffix:
Gender:F
Credentials:MA, LADC (US)
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:
Other - Last Name:HATCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LADC(US)
Mailing Address - Street 1:421 BRIGHTON DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-3130
Mailing Address - Country:US
Mailing Address - Phone:405-361-3432
Mailing Address - Fax:405-285-2141
Practice Address - Street 1:421 BRIGHTON DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-3130
Practice Address - Country:US
Practice Address - Phone:405-361-3432
Practice Address - Fax:405-285-2141
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)