MEDICARE: MRS. AMY C. HATCHER M.C.D., CCC-SLP

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	235Z00000X	Speech-Language Pathologist	3055	AL

General Provider Information

NPI Number	:	1023320082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY C. HATCHER M.C.D., CCC-SLP

Provider Business Mailing Address
First Line	:	2125 EAST SOUTH BLVD.
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-2454
Country	:	US
Telephone Number	:	334-288-0240
Fax Number	:	334-288-7171

Provider Business Practice Location Address
First Line	:	2125 EAST SOUTH BLVD.
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-2454
Country	:	US
Telephone Number	:	334-288-0240
Fax Number	:	334-288-7171

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

Provider Enumeration Date	:	07/07/2010
Last Update Date	:	07/07/2010

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Directions to “ MRS. AMY C. HATCHER M.C.D., CCC-SLP” Practice Location

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