Gathers-Hutchins, Latisha Marie

Gathers-Hutchins, Latisha Marie is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Gathers-Hutchins, Latisha Marie can be contacted via phone (937) 641-3401.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-3401
Fax: (937) 641-3066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7054 Ohio
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X P.7054 Ohio

Profile Details

NPI number 1790117836
LBN Legal business name Gathers-Hutchins, Latisha Marie
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2013
Last updated Oct 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790117836 NPPES
Ohio MEDICAID 0220150

Popular Providers