Provider Demographics
NPI:1063756187
Name:HUTTO, ROBERT F (MSW)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:F
Last Name:HUTTO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 E MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ESTILL SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37330
Mailing Address - Country:US
Mailing Address - Phone:931-649-3408
Mailing Address - Fax:931-649-3409
Practice Address - Street 1:416 E MAIN STREET
Practice Address - Street 2:
Practice Address - City:ESTILL SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37330
Practice Address - Country:US
Practice Address - Phone:931-649-3408
Practice Address - Fax:931-649-3409
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker