Provider Demographics
NPI:1124433354
Name:HUTCHINSON, AARON (AUD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 FLOTILLA CLUB DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4210
Mailing Address - Country:US
Mailing Address - Phone:321-482-3757
Mailing Address - Fax:
Practice Address - Street 1:1175 DUNLAWTON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-4745
Practice Address - Country:US
Practice Address - Phone:877-637-8387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1868231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist