BOBBY BOYD HATFIELD PHD, HSPP
Clinical Neuropsychologist
Selma, Indiana
Provider NPI: 1942272992
Provider Information:BOBBY BOYD HATFIELD PHD, HSPP
Gender: M
Not Sole Proprietor
Practice Location:
8711 S COUNTY ROAD 600 E SELMA, IN 47383 US
Tel: 765-730-2649 Fax: --
Business Mailing Address:
8711 S COUNTY ROAD 600 E STE A SELMA, IN 47383 US
Tel: 765-730-2649 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | IN | 20041571A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ANTHEM BLUE CROSS BLUE SH | 000000183925 | IN | 01 |
200271790 | IN | 05 | |
MAGELLAN | 2628219000 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin