Hatton, Mark David
Hatton, Mark David is an sole proprietor health care provider with primary practice located at 300 Franklin Tpke , Ridgewood NJ 07450-1932. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Hatton, Mark David can be contacted via phone (201) 638-6203.Contact Information
Primary practice address
300 Franklin Tpke
Ridgewood NJ 07450-1932
Phone: (201) 638-6203
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 35S100297000 | New Jersey |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 35S100297000 | New Jersey |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 35S100297000 | New Jersey |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35S100297000 | New Jersey |
Profile Details
NPI number | 1831237510 |
---|---|
LBN Legal business name | Hatton, Mark David |
Credentials | PH.D., M.ED., M.PHIL |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 2nd, 2007 |
Last updated | May 14th, 2024 - about 6 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831237510 | NPPES |
New Jersey | MEDICAID | 5578302 | |
New Jersey | Other | PS020054 | |
New Jersey | Other | 35SI00297000 |
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