Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 5213616-2501 | UT |
N | 103T00000X | Psychologist | 5213616-2501 | UT |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
N | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 5213616-2501 | UT |
Y | 103TC0700X | Clinical Psychologist | 5213616-2501 | UT |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TF0200X | Forensic Psychologist | ||
N | 103TH0100X | Health Service | ||
N | 103TM1800X | Intellectual & Developmental Disabilities | ||
N | 103TP2701X | Group Psychotherapist |
NPI | 1245405844 |
---|---|
Provider Name | Dr. Arlin L Hatch |
First Address | Provo, UT 84606-5525 |
Second Address | Provo, UT 84606-3554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 24/04/2008 |