Provider Demographics
NPI:1083965172
Name:HUTTON, PATTI LYNN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:LYNN
Last Name:HUTTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-2083
Mailing Address - Country:US
Mailing Address - Phone:717-363-4973
Mailing Address - Fax:717-363-4974
Practice Address - Street 1:134 W MARKET ST
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-2129
Practice Address - Country:US
Practice Address - Phone:717-248-9000
Practice Address - Fax:717-248-9400
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006550101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health