Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 00731 | MD |
Y | 103TC0700X | Clinical Psychologist | 00731 | MD |
NPI | 1003011669 |
---|---|
Provider Name | Dr. Bruce Delbert Hutchison |
First Address | Annapolis, MD 21409-5309 |
Second Address | Annapolis, MD 21409-5309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 08/07/2007 |