Provider Demographics
NPI:1770714602
Name:HUTCHINSON, KATHERINE CONLON (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:CONLON
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S SALEM ST
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-1824
Mailing Address - Country:US
Mailing Address - Phone:919-724-5697
Mailing Address - Fax:919-363-9927
Practice Address - Street 1:201 S SALEM ST
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-1824
Practice Address - Country:US
Practice Address - Phone:919-724-5697
Practice Address - Fax:919-363-9927
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3999103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical