Healthcare Provider Details

I. General information

NPI: 1669348280
Provider Name (Legal Business Name): CAROLYN HUTCHINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21320 ARBOR AVE
EUCLID OH
44123-3120
US

IV. Provider business mailing address

21320 ARBOR AVE
EUCLID OH
44123-3120
US

V. Phone/Fax

Practice location:
  • Phone: 216-256-9326
  • Fax:
Mailing address:
  • Phone: 216-256-9326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.006826
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: