Individual
DR. MARK DAVID HATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.ED., M.PHIL
Contact information
Practice address
300 FRANKLIN TPKE, RIDGEWOOD, NJ 07450-1932
(201) 638-6203
Mailing address
280 BEAUMONT DR, OXFORD, PA 19363-1366
(201) 638-6203
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
35S100297000
NJ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
35S100297000
NJ
103TC0700X
Clinical Psychologist
Primary
35S100297000
NJ
103TC1900X
Counseling Psychologist
35S100297000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35SI00297000
NJ PSYCHOLOGIST LICENSE
NJ
05
—
5578302
—
NJ
01
—
PS020054
PA PSYCHOLOGIST LICENSE
PA
Enumeration date
02/02/2007
Last updated
05/14/2024
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