Healthcare Provider Details

I. General information

NPI: 1487741393
Provider Name (Legal Business Name): MARY CHRISTINE HUTCHINSON MSP, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 HURFFVILLE CROSSKEYS RD
SEWELL NJ
08080-2328
US

IV. Provider business mailing address

10501 ACADEMY RD STE N
PHILADELPHIA PA
19114-1137
US

V. Phone/Fax

Practice location:
  • Phone: 215-743-4435
  • Fax:
Mailing address:
  • Phone: 215-743-4435
  • Fax: 866-210-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP005883
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number41YS00726000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: