Healthcare Provider Details

I. General information

NPI: 1629655774
Provider Name (Legal Business Name): JAMES RALPH HUTCHISON ED.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 03/25/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 BLUMONT DR
LYNCHBURG VA
24503-3402
US

IV. Provider business mailing address

206 BLUMONT DR
LYNCHBURG VA
24503-3402
US

V. Phone/Fax

Practice location:
  • Phone: 434-420-4554
  • Fax:
Mailing address:
  • Phone: 434-420-4554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701000842
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: