Healthcare Provider Details

I. General information

NPI: 1265171144
Provider Name (Legal Business Name): EMILY HUTTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 05/31/2022
Certification Date: 05/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9199 REISTERSTOWN RD STE 202B
OWINGS MILLS MD
21117-4579
US

IV. Provider business mailing address

635 COLORADO AVE APT 1B
BALTIMORE MD
21210-2135
US

V. Phone/Fax

Practice location:
  • Phone: 443-660-8018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: