Provider Demographics
NPI:1548292048
Name:HUTCHISON, MARY ANN (PHD, MFT)
Entity type:Individual
Prefix:
First Name:MARY ANN
Middle Name:
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 ALVARADO TER
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-5002
Mailing Address - Country:US
Mailing Address - Phone:800-609-6610
Mailing Address - Fax:213-383-1890
Practice Address - Street 1:1333 ALVARADO TER
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-5002
Practice Address - Country:US
Practice Address - Phone:800-609-6610
Practice Address - Fax:213-383-1890
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC16918106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist