Individual
BOBBY BOYD HATFIELD JR.
Active
Individual
BOBBY BOYD HATFIELD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, HSPP
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20041571A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183925
ANTHEM BLUE CROSS BLUE SH
IN
05
—
200271790
—
IN
01
—
2628219000
MAGELLAN
IN
Enumeration date
02/03/2006
Last updated
06/14/2019
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