Provider Demographics
NPI:1619594769
Name:HUTSON, KAITLIN (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:KAITLIN
Middle Name:
Last Name:HUTSON
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 S GILBERT ST STE 109
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-1738
Mailing Address - Country:US
Mailing Address - Phone:319-853-8659
Mailing Address - Fax:
Practice Address - Street 1:702 S GILBERT ST STE 109
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1738
Practice Address - Country:US
Practice Address - Phone:319-853-8659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-05
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist