MEDICARE: MARY CAITLIN 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1891331229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY CAITLIN HATCH

Provider Business Mailing Address
First Line	:	184 WASHINGTON PARK APT 2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-4082
Country	:	US
Telephone Number	:	512-431-6013
Fax Number	:

Provider Business Practice Location Address
First Line	:	87 RICHARDSON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-1306
Country	:	US
Telephone Number	:	516-847-2302
Fax Number	:

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

Provider Enumeration Date	:	11/20/2019
Last Update Date	:	12/19/2025

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Directions to “ MARY CAITLIN HATCH ” Practice Location

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