Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 021465-1 | NY |
Y | 103TC0700X | Clinical Psychologist | 021465-1 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 021465-1 | NY |
NPI | 1003278045 |
---|---|
Provider Name | Dr. Erica Nicole Hutchison |
First Address | Brooklyn, NY 11219-2918 |
Second Address | Brooklyn, NY 11219-2918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2016 |
Last Update Date | 04/05/2016 |