Healthcare Provider Details

I. General information

NPI: 1891753703
Provider Name (Legal Business Name): DEBORAH A HUTSON MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 10/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S STEELE ST SUITE 377
DENVER CO
80209-2805
US

IV. Provider business mailing address

3641 STUART ST
DENVER CO
80212-1952
US

V. Phone/Fax

Practice location:
  • Phone: 970-819-6549
  • Fax:
Mailing address:
  • Phone: 970-819-6549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number992054
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: