Healthcare Provider Details

I. General information

NPI: 1952629677
Provider Name (Legal Business Name): MAUREEN A. HUTCHINSON L.AC.; C.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 05/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 MIST WOOD CT #204
BELCAMP MD
21017-1604
US

IV. Provider business mailing address

1210 MIST WOOD CT #204
BELCAMP MD
21017-1604
US

V. Phone/Fax

Practice location:
  • Phone: 410-925-1689
  • Fax:
Mailing address:
  • Phone: 410-925-1689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberUO1214
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMO1676
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: