Healthcare Provider Details

I. General information

NPI: 1760790406
Provider Name (Legal Business Name): MS. CYNTHIA KAY HUTCHISON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2010
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 HYDE ST
SAN FRANCISCO CA
94109-5996
US

IV. Provider business mailing address

815 HYDE ST
SAN FRANCISCO CA
94109-5996
US

V. Phone/Fax

Practice location:
  • Phone: 415-673-5700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35754
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: