Healthcare Provider Details

I. General information

NPI: 1871007021
Provider Name (Legal Business Name): JENNIFER HUTCHINSON PSYD.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2017
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WESTLAKE AVE N
SEATTLE WA
98109-3012
US

IV. Provider business mailing address

8740 RED BARON BLVD
RENO NV
89506-2125
US

V. Phone/Fax

Practice location:
  • Phone: 888-364-5977
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberMC60516822
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61304710
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: