Provider Demographics
NPI:1790919439
Name:HATCHER, WENDY A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:A
Last Name:HATCHER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:A
Other - Last Name:HATCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 5579
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97708-5579
Mailing Address - Country:US
Mailing Address - Phone:541-706-2768
Mailing Address - Fax:541-706-4760
Practice Address - Street 1:340 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-1869
Practice Address - Country:US
Practice Address - Phone:541-526-6635
Practice Address - Fax:541-526-6636
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-10
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21003103TC0700X
OR2352103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical