Healthcare Provider Details

I. General information

NPI: 1306761275
Provider Name (Legal Business Name): OLIVIA GRACE HUTCHISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 ASHVILLE FAIRFIELD RD
ASHVILLE OH
43103-9406
US

IV. Provider business mailing address

1144 MOUNT ZION RD SW
LANCASTER OH
43130-9542
US

V. Phone/Fax

Practice location:
  • Phone: 740-983-5000
  • Fax:
Mailing address:
  • Phone: 740-438-4330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberCOND.20263544-SP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: