Provider Demographics
NPI:1265761100
Name:GATON, HILDA JUDITH (MA, MHP)
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:JUDITH
Last Name:GATON
Suffix:
Gender:F
Credentials:MA, MHP
Other - Prefix:
Other - First Name:HILDA
Other - Middle Name:JUDITH
Other - Last Name:GATON-BERVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MHP
Mailing Address - Street 1:2139 VAN GIESEN ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99354
Mailing Address - Country:US
Mailing Address - Phone:509-943-2590
Mailing Address - Fax:509-946-1398
Practice Address - Street 1:2139 VAN GIESEN
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99354
Practice Address - Country:US
Practice Address - Phone:509-943-2590
Practice Address - Fax:509-946-1398
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7407554Medicaid