Individual
DR. IDA L HATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
761 3RD ST, NEW MARTINSVILLE, WV 26155-1403
(304) 455-3035
Mailing address
403 N 4TH AVE, PADEN CITY, WV 26159-1513
(304) 337-4051
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
1049
WV
103TB0200X
Cognitive & Behavioral Psychologist
1049
WV
103TC0700X
Clinical Psychologist
Primary
1049
WV
103TC2200X
Clinical Child & Adolescent Psychologist
1049
WV
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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