Provider Demographics
NPI:1265580567
Name:HATTON, ASHLEY TATE
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:TATE
Last Name:HATTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3789 UTAH ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3531
Mailing Address - Country:US
Mailing Address - Phone:214-934-0996
Mailing Address - Fax:
Practice Address - Street 1:3789 UTAH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-3531
Practice Address - Country:US
Practice Address - Phone:214-934-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health