Healthcare Provider Details

I. General information

NPI: 1205988748
Provider Name (Legal Business Name): WENDY BELLE HUTCHINS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 08/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 UNIVERSITY ST SUITE 1200
SEATTLE WA
98101-2507
US

IV. Provider business mailing address

411 UNIVERSITY ST SUITE 1200
SEATTLE WA
98101-2507
US

V. Phone/Fax

Practice location:
  • Phone: 206-623-7056
  • Fax: 206-467-0212
Mailing address:
  • Phone: 206-623-7056
  • Fax: 206-467-0212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1340
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: