Provider Demographics
NPI:1710430442
Name:HATFIELD, LOUEVA (MED)
Entity Type:Individual
Prefix:
First Name:LOUEVA
Middle Name:
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 S EAGLE ST
Mailing Address - Street 2:
Mailing Address - City:WEIMAR
Mailing Address - State:TX
Mailing Address - Zip Code:78962-2902
Mailing Address - Country:US
Mailing Address - Phone:979-314-7229
Mailing Address - Fax:855-839-6442
Practice Address - Street 1:506 S EAGLE ST
Practice Address - Street 2:
Practice Address - City:WEIMAR
Practice Address - State:TX
Practice Address - Zip Code:78962-2902
Practice Address - Country:US
Practice Address - Phone:979-314-7229
Practice Address - Fax:855-839-6442
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst