| Hutson Psychological Services, Llc | |
|
1638c E Republic Rd Springfield MO 65804-6509 | |
| (417) 839-1156 | |
| (417) 882-7765 |
| Full Name | Hutson Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1638c E Republic Rd, Springfield, Missouri |
| Authorized Official Name and Position | Sheila Hutson (PSYCHOLOGIST) |
| Authorized Official Contact | 4178391156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hutson Psychological Services, Llc 1638c E Republic Rd Springfield MO 65804-6509 Ph: (417) 839-1156 | Hutson Psychological Services, Llc 1638c E Republic Rd Springfield MO 65804-6509 Ph: (417) 839-1156 |
| NPI Number | 1841484896 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 10/03/2007 |
| Medicare PECOS PAC ID | 9234123258 |
|---|---|
| Medicare Enrollment ID | O20040413000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841484896 | NPI | - | NPPES |
| 494998016 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2000159807 (Missouri) | Primary |
| Provider Name | Sheila Hutson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306986757 PECOS PAC ID: 8921092933 Enrollment ID: I20040413000500 |
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