Healthcare Provider Details

I. General information

NPI: 1073248274
Provider Name (Legal Business Name): LINDA ALEXANDRIA HUTCHISON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2022
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 UNIVERSITY HOSPITAL DR # 212
MOBILE AL
36617-2300
US

IV. Provider business mailing address

2451 UNIVERSITY HOSPITAL DR # 212
MOBILE AL
36617-2300
US

V. Phone/Fax

Practice location:
  • Phone: 514-717-1172
  • Fax:
Mailing address:
  • Phone: 514-717-1172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberT-4837
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: