Provider Demographics
NPI:1326140526
Name:HUTCHINS, PRISCILLA A (EDD)
Entity Type:Individual
Prefix:DR
First Name:PRISCILLA
Middle Name:A
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 EMERSON FALLS RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-9179
Mailing Address - Country:US
Mailing Address - Phone:802-748-5402
Mailing Address - Fax:802-748-5719
Practice Address - Street 1:347 EMERSON FALLS RD
Practice Address - Street 2:SUITE 2
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-9179
Practice Address - Country:US
Practice Address - Phone:802-748-5402
Practice Address - Fax:802-748-5719
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048-0000265103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist