MEDICARE: MEGHAN HUTTEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1447790753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN HUTTEN

Provider Business Mailing Address
First Line	:	400 E OHIO ST
Second Line	:	APT. 4104
City	:	CHICAGO
State	:	IL
Zip	:	60611-3322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E OHIO ST
Second Line	:	APT 4104
City	:	CHICAGO
State	:	IL
Zip	:	60611-3322
Country	:	US
Telephone Number	:	727-946-4356
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2017
Last Update Date	:	02/14/2019

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Directions to “ MEGHAN HUTTEN ” Practice Location

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