Provider Demographics
NPI:1205480217
Name:HUTCHISON, THOMAS HOWARD (PSYD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:HOWARD
Last Name:HUTCHISON
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 CENTER POINT RD STE 2350
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-5826
Mailing Address - Country:US
Mailing Address - Phone:843-501-1099
Mailing Address - Fax:843-405-2040
Practice Address - Street 1:2000 CENTER POINT RD STE 2350
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-5826
Practice Address - Country:US
Practice Address - Phone:803-669-8887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY004605103T00000X
SC1911103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist