Provider Demographics
NPI:1174070304
Name:HATCH, NANCY MAY
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:MAY
Last Name:HATCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6330 99TH WAY N
Mailing Address - Street 2:UNIT 14-D
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33708-4534
Mailing Address - Country:US
Mailing Address - Phone:727-518-2990
Mailing Address - Fax:
Practice Address - Street 1:4707 W GANDY BLVD
Practice Address - Street 2:SUITE 12B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-3372
Practice Address - Country:US
Practice Address - Phone:813-380-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI29222355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant