MEDICARE: MS. DONNA G. HUTCHINSON MSP CCC-SLP

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	235Z00000X	Speech-Language Pathologist	3350	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538143417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONNA G. HUTCHINSON MSP CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 118
Second Line	:
City	:	GILBERT
State	:	SC
Zip	:	29054-0118
Country	:	US
Telephone Number	:	803-429-7463
Fax Number	:	803-520-8623

Provider Business Practice Location Address
First Line	:	524 RIGLAW CIR
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29073-7192
Country	:	US
Telephone Number	:	803-429-7463
Fax Number	:	803-520-8623

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

Provider Enumeration Date	:	12/03/2005
Last Update Date	:	04/11/2013

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