Healthcare Provider Details

I. General information

NPI: 1982682829
Provider Name (Legal Business Name): MARIANNE L HUTCHISON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2005
Last Update Date: 01/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E PINNACLE PEAK RD SUITE 206
SCOTTSDALE AZ
85255-3592
US

IV. Provider business mailing address

7400 E PINNACLE PEAK RD SUITE 206
SCOTTSDALE AZ
85255-3592
US

V. Phone/Fax

Practice location:
  • Phone: 480-419-7098
  • Fax: 480-419-5977
Mailing address:
  • Phone: 480-419-7098
  • Fax: 480-993-3417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3371
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: