Healthcare Provider Details

I. General information

NPI: 1457703944
Provider Name (Legal Business Name): JOY HUTCHINSON LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2016
Last Update Date: 07/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2845 EASTERN BLVD
YORK PA
17402-2909
US

IV. Provider business mailing address

240 IROQUOIS TRL
YORK HAVEN PA
17370-9404
US

V. Phone/Fax

Practice location:
  • Phone: 717-840-6444
  • Fax:
Mailing address:
  • Phone: 570-885-3482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW131296
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: