Healthcare Provider Details

I. General information

NPI: 1205480217
Provider Name (Legal Business Name): THOMAS HOWARD HUTCHISON PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CENTER POINT RD STE 2350
COLUMBIA SC
29210-5826
US

IV. Provider business mailing address

2000 CENTER POINT RD STE 2350
COLUMBIA SC
29210-5826
US

V. Phone/Fax

Practice location:
  • Phone: 803-669-8887
  • Fax:
Mailing address:
  • Phone: 843-501-1099
  • Fax: 843-405-2040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY004605
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1911
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1911
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: