Provider Demographics
NPI:1952629677
Name:HUTCHINSON, MAUREEN A (LAC; CMT)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:A
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:LAC; CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 MIST WOOD CT
Mailing Address - Street 2:#204
Mailing Address - City:BELCAMP
Mailing Address - State:MD
Mailing Address - Zip Code:21017-1604
Mailing Address - Country:US
Mailing Address - Phone:410-925-1689
Mailing Address - Fax:
Practice Address - Street 1:1210 MIST WOOD CT
Practice Address - Street 2:#204
Practice Address - City:BELCAMP
Practice Address - State:MD
Practice Address - Zip Code:21017-1604
Practice Address - Country:US
Practice Address - Phone:410-925-1689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDUO1214171100000X
MDMO1676225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist