Individual
MRS. JENNIFER MARIE HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
32772 DEER WATCH CT, NEW CARLISLE, IN 46552-9690
(574) 654-8540
(574) 654-9183
Mailing address
32772 DEER WATCH CT, NEW CARLISLE, IN 46552-9690
(574) 654-8540
(574) 654-9183
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003342A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200609530
—
IN
05
—
200735900A
—
IN
Enumeration date
03/08/2007
Last updated
07/09/2007
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