Healthcare Provider Details

I. General information

NPI: 1295169563
Provider Name (Legal Business Name): LINDSAY ANN HUTCHISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY ANN CIMORELLI LPC

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

774 EAYRESTOWN RD
LUMBERTON NJ
08048-3100
US

IV. Provider business mailing address

774 EAYRESTOWN RD
LUMBERTON NJ
08048-3100
US

V. Phone/Fax

Practice location:
  • Phone: 609-784-8217
  • Fax: 609-784-8257
Mailing address:
  • Phone: 609-784-8217
  • Fax: 609-784-8257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00466900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: