Provider Demographics
NPI:1760686992
Name:HATCHER, TERRY K (PHD)
Entity Type:Individual
Prefix:MS
First Name:TERRY
Middle Name:K
Last Name:HATCHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:TERRY
Other - Middle Name:K
Other - Last Name:BAXTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1901 CHURCH LN
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-3707
Mailing Address - Country:US
Mailing Address - Phone:510-236-3139
Mailing Address - Fax:510-236-3200
Practice Address - Street 1:127 GRENADINE WAY
Practice Address - Street 2:
Practice Address - City:HERCULES
Practice Address - State:CA
Practice Address - Zip Code:94547-2041
Practice Address - Country:US
Practice Address - Phone:510-799-1570
Practice Address - Fax:510-799-1866
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health