Doctor Name: | MRS. PATTI LYNN HUTTON |
NPI Number: | 1083965172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC006550 |
Business Practice Address: | 134 W Market St Lewistown, PA - 170442129 |
Business Phone Number: | 7172489000 |
Business Fax Number: | 7172489400 |
Mailing Address: | 516 W 4th St, LEWISTOWN |
State: | PA |
Postal Code: | 170442083 |
Phone Number: | 7173634973 |
Fax Number: | 7173634974 |
NPI Enumeration Date: | 09/28/2012 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC006550 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |