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NPI Code Detail

MEDICARE: DR. DOUGLAS SCOTT HUTCHINSON PSY.D.

MEDICARE: DR. DOUGLAS SCOTT HUTCHINSON PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist0003753CO

General Provider Information

NPI Number : 1003151788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS SCOTT HUTCHINSON PSY.D.
Provider Business Mailing Address
First Line : 211 S 21ST AVE
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-2581
Country : US
Telephone Number : 303-655-9065
Fax Number : 303-655-0336
Provider Business Practice Location Address
First Line : 211 S 21ST AVE
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-2581
Country : US
Telephone Number : 303-655-9065
Fax Number : 303-655-0336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2012
Last Update Date : 12/06/2012

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