Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0003753 | CO |
Y | 103TC0700X | Clinical Psychologist | 0003753 | CO |
NPI | 1003151788 |
---|---|
Provider Name | Dr. Douglas Scott Hutchinson |
First Address | Brighton, CO 80601-2581 |
Second Address | Brighton, CO 80601-2581 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2012 |
Last Update Date | 06/12/2012 |