Healthcare Provider Details

I. General information

NPI: 1770407801
Provider Name (Legal Business Name): ASHLEY HATTER PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 COLORADO AVE
TURLOCK CA
95380-4169
US

IV. Provider business mailing address

601 COLORADO AVE
TURLOCK CA
95380-4169
US

V. Phone/Fax

Practice location:
  • Phone: 350-206-3900
  • Fax: 209-667-6520
Mailing address:
  • Phone: 350-206-3900
  • Fax: 209-667-6520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number210266012
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: