Hathaway, Michael R.

Hathaway, Michael R. is an individual health care provider with primary practice located at 322 W North River Dr , Spokane WA 99201-3208. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Hathaway, Michael R. can be contacted via phone (509) 324-6464.

Contact Information

Primary practice address
322 W North River Dr Spokane WA 99201-3208
Phone: (509) 324-6464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MF20000864 Washington

Profile Details

NPI number 1720133952
LBN Legal business name Hathaway, Michael R.
Credentials M.F.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 14th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720133952 NPPES
Washington MEDICAID 8539553

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