Provider Demographics
NPI:1508825910
Name:HUTTON, ANNA D (PSYD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:D
Last Name:HUTTON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:GRANTHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03753-0250
Mailing Address - Country:US
Mailing Address - Phone:603-491-7818
Mailing Address - Fax:888-972-4696
Practice Address - Street 1:45 LYME RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-1219
Practice Address - Country:US
Practice Address - Phone:603-491-7818
Practice Address - Fax:888-972-4696
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1037103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30423506Medicaid