Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1330 | LA |
Y | 103TC0700X | Clinical Psychologist | 1330 | LA |
N | 103G00000X | Clinical Psychologist | PY9204 | FL |
N | 103TC0700X | Clinical Psychologist | PY9204 | FL |
N | 102L00000X | Psychologist | 1330 | LA |
N | 103T00000X | Psychologist | 1330 | LA |
N | 102L00000X | Psychologist | 9204 | FL |
N | 103T00000X | Psychologist | 9204 | FL |
N | 102L00000X | Psychologist | PY9204 | FL |
N | 103T00000X | Psychologist | PY9204 | FL |
N | 103G00000X | Clinical Psychologist | 1330 | LA |
N | 103TC0700X | Clinical Psychologist | 1330 | LA |
N | 103G00000X | Clinical Psychologist | PY9204 | FL |
N | 103TC0700X | Clinical Psychologist | PY9204 | FL |
N | 103TR0400X | Rehabilitation Psychologist | 1330 | LA |
N | 103TR0400X | Rehabilitation Psychologist | PY9204 | FL |
NPI | 1013392869 |
---|---|
Provider Name | Kimberly S Hutchinson |
First Address | Sulphur, LA 70663-6100 |
Second Address | Sulphur, LA 70663-6100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2015 |
Last Update Date | 30/03/2021 |