Provider Demographics
NPI:1649629544
Name:HUTCHINSON, CAREN J (MS, (CCC-SLP))
Entity type:Individual
Prefix:
First Name:CAREN
Middle Name:J
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:MS, (CCC-SLP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:BROWNFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04010-0103
Mailing Address - Country:US
Mailing Address - Phone:207-393-7258
Mailing Address - Fax:
Practice Address - Street 1:436 DUGWAY RD
Practice Address - Street 2:
Practice Address - City:BROWNFIELD
Practice Address - State:ME
Practice Address - Zip Code:04010-4525
Practice Address - Country:US
Practice Address - Phone:207-393-7258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP2456235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist