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General NPI Number Information
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NPI Number | 1770276107
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Entity Type | Individual
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Provider Name | ELYSE FRANCES HUTCHESON PHD, DLLP
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Gender | Female
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 2610 W LIBERTY ST
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City | ANN ARBOR
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State | MI
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Zip | 48103-6560
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Country | US
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Telephone | 734-368-9691
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Fax |
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Provider Business Mailing Address
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Address Line | 7819 ANNAPOLIS ST
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City | PORTAGE
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State | MI
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Zip | 49002-4375
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Country | US
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Telephone | 484-319-6864
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6351004882
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License Number State | MI
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