Basic Information
| Provider Information | |||||||||
| NPI: | 1003151788 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUTCHINSON | ||||||||
| FirstName: | DOUGLAS | ||||||||
| MiddleName: | SCOTT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 211 S 21ST AVE | ||||||||
| Address2: | |||||||||
| City: | BRIGHTON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806012581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036559065 | ||||||||
| FaxNumber: | 3036550336 | ||||||||
| Practice Location | |||||||||
| Address1: | 211 S 21ST AVE | ||||||||
| Address2: | |||||||||
| City: | BRIGHTON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806012581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036559065 | ||||||||
| FaxNumber: | 3036550336 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2012 | ||||||||
| LastUpdateDate: | 12/06/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 0003753 | CO | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.