Individual
JENNIFER EVERETT HATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2336 DAWSON RD, SUITE 1100, ALBANY, GA 31707-2800
(229) 881-4244
(229) 312-8715
Mailing address
231 WINNSTEAD DR, LEESBURG, GA 31763-5376
(229) 881-4244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006521
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126707A
—
GA
Enumeration date
05/17/2011
Last updated
03/20/2019
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