MEDICARE: NANCY MAY HATCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	SI2922	FL

General Provider Information

NPI Number	:	1174070304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY MAY HATCH

Provider Business Mailing Address
First Line	:	6330 99TH WAY N
Second Line	:	UNIT 14-D
City	:	ST PETERSBURG
State	:	FL
Zip	:	33708-4534
Country	:	US
Telephone Number	:	727-518-2990
Fax Number	:

Provider Business Practice Location Address
First Line	:	4707 W GANDY BLVD
Second Line	:	SUITE 12B
City	:	TAMPA
State	:	FL
Zip	:	33611-3372
Country	:	US
Telephone Number	:	813-380-8230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2016
Last Update Date	:	09/06/2016

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Directions to “ NANCY MAY HATCH ” Practice Location

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