Doctor Name: | MRS. ASHLEY ELIZABETH HUTTON |
NPI Number: | 1255690772 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 444712 |
Business Practice Address: | 18 High Ridge Dr Bourne, MA - 025325668 |
Business Phone Number: | 5087364499 |
Business Fax Number: | |
Mailing Address: | 18 High Ridge Dr, BOURNE |
State: | MA |
Postal Code: | 025325668 |
Phone Number: | 5087364499 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2012 |
NPI Last Update Date: | 05/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 444712 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |