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BOBBY BOYD HATFIELD PHD

Clinical Neuropsychologist

Selma, Indiana

Provider NPI: 1942272992

Provider Information:
 BOBBY BOYD HATFIELD PHD
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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
IN20041571A

Other Provider Identifiers:

IssuerNumberStateType
200271790IN05
MAGELLAN2628219000IN01
ANTHEM BLUE CROSS BLUE SH000000183925IN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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