Provider Demographics
NPI:1710369731
Name:HADLEY, KATHRYN (RBT-15-01894)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:HADLEY
Suffix:
Gender:F
Credentials:RBT-15-01894
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 E OLD TRENTON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5845
Mailing Address - Country:US
Mailing Address - Phone:931-249-5056
Mailing Address - Fax:
Practice Address - Street 1:800 RIVER RUN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-6041
Practice Address - Country:US
Practice Address - Phone:931-249-5056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor