Individual
JOAN HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 S BROWNELL AVE, JOPLIN, MO 64804-3157
(417) 592-6536
Mailing address
2924 S BROWNELL AVE, JOPLIN, MO 64804-3157
(417) 592-6536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26 64
MISSOURI TEACHING CERTIFICATION
MO
Enumeration date
08/14/2016
Last updated
08/14/2016
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