Provider Demographics
NPI:1336490309
Name:HUTCHINGS, ANNA LATIMER (TSLD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:LATIMER
Last Name:HUTCHINGS
Suffix:
Gender:F
Credentials:TSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 WILSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13209-2250
Mailing Address - Country:US
Mailing Address - Phone:315-415-9497
Mailing Address - Fax:
Practice Address - Street 1:303 ROBY AVE
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-1800
Practice Address - Country:US
Practice Address - Phone:315-434-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY596428121235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist