Provider Demographics
NPI:1902175284
Name:DR. WENDY HUTCHINS, INC. P.S.
Entity Type:Organization
Organization Name:DR. WENDY HUTCHINS, INC. P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:BELLE
Authorized Official - Last Name:HUTCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-623-7056
Mailing Address - Street 1:411 UNIVERSITY ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2507
Mailing Address - Country:US
Mailing Address - Phone:206-623-7056
Mailing Address - Fax:206-467-0212
Practice Address - Street 1:411 UNIVERSITY ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2519
Practice Address - Country:US
Practice Address - Phone:206-623-7056
Practice Address - Fax:206-467-0212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1340103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP15390Medicare UPIN
WAAB17494Medicare Oscar/Certification