Healthcare Provider Details

I. General information

NPI: 1497452890
Provider Name (Legal Business Name): MAKAYLA HUTCHISON MS, CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2023
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5656 W US HIGHWAY 10
LUDINGTON MI
49431-2454
US

IV. Provider business mailing address

9788 BLUE LAKE RD
TWIN LAKE MI
49457-8952
US

V. Phone/Fax

Practice location:
  • Phone: 231-843-2543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: