Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 23620 | TX |
NPI | 1033211560 |
---|---|
Provider Name | Dr. James Wells Hutchison |
First Address | Houston, TX 77005-1364 |
Second Address | Houston, TX 77005-1364 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
033419501 | (05) | TX |
UR38428 | (02) | TX |