Provider Demographics
NPI:1831533454
Name:HUTCHINGS, JASON JAMES (PSYD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:JAMES
Last Name:HUTCHINGS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 S 8TH ST
Mailing Address - Street 2:OFFICE #132
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-3520
Mailing Address - Country:US
Mailing Address - Phone:215-829-7347
Mailing Address - Fax:
Practice Address - Street 1:245 S 8TH ST
Practice Address - Street 2:OFFICE #138
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-3520
Practice Address - Country:US
Practice Address - Phone:215-829-7331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017415103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical